Active NPI
Benjamin Gerrard, LMSW
- Clinical Social Worker
- Emporia, KS
National Provider Identifier
1770830119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8571
- Practice address
- 1420 C of E Dr Ste 115
Emporia, KS 66801-2579 - Phone
- (706) 372-6315
- NPI assigned
- Aug 3, 2012
- Last updated
- Aug 3, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8571 | KS | |
| Clinical Social Worker | 1041C0700X | 8571 | KS | Primary |
Addresses
Primary practice location
1420 C of E Dr Ste 115
Emporia, KS 66801-2579
Mailing address
1420 C of E Dr Ste 115
Emporia, KS 66801-2579
Phone (706) 372-6315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8571 | KS | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1770830119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 C OF E DR STE 115",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668012579",
"telephone_number": "706-372-6315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 C OF E DR STE 115",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668012579",
"telephone_number": "706-372-6315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERRARD",
"first_name": "BENJAMIN",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-03",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KS",
"license": "8571",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "8571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Emporia, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.