George James Benker, LCSW
Individual provider Active NPI Clinical Social Worker · Piedmont, CA
NPI 1780701995 · NPPES record last updated Jul 16, 2007
Key facts
- NPI
- 1780701995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCS17484 (CA)
- Practice address
- 1250 Grand Ave
Piedmont, CA 94610-1002 - Phone
- (510) 655-7880
- Fax
- (510) 655-3379
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| LCS17484 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ann Martin Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS17484 | CA | Yes |
Addresses
Primary practice location
1250 Grand Ave
Piedmont, CA 94610-1002
Mailing address
1250 Grand Ave
Piedmont, CA 94610-1002
Phone (510) 655-7880
Other providers in Piedmont, CA
- Ballan D Tuck DDS Inc
- Patrick Banker
- Megan Zoe Barrett
- Michael Eli Barricks
- Irene Lizette Bayardo
- Alan Bernales
- Joshua Brian Bernstein
- Biometric Innovative Options Physical Therapy, Inc.
- Michele Marjorie Bloomer
- Annie Tran Bozkurt
All providers in Piedmont, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2007. 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.