Jerren Benton
Individual provider Active NPI Social Worker · White Cloud, MI
NPI 1780100339 · NPPES record last updated Oct 24, 2018
Key facts
- NPI
- 1780100339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6801102238 (MI)
- Practice address
- 1049 E Newell St
White Cloud, MI 49349-8795 - Phone
- (231) 689-7330
- NPI assigned
- Aug 16, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801102238 | MI | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801102238 | MI | Yes |
Addresses
Primary practice location
1049 E Newell St
White Cloud, MI 49349-8795
Mailing address
1932 Harrison Ave
Muskegon, MI 49441-1543
Other providers in White Cloud, MI
- Pamela Jean Baron
- Anita Lynn Barrett
- Brittany Barrie
- Sondra Marie Elizabeth Basso
- Betsey Jo Baumann-Smeenge
- Amber Lynne Bergman
- Jenniffer Bignall
- Annette Binnendyk
- Andrea Leigh Bliss
- Keith David Bogucki
All providers in White Cloud, MI · Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.