Sheri Benham, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34007594A Issued in IN

Practice address

322 S Euclid Ave
Bloomington, IN 47403-2223

Phone

(812) 320-3956

Fax

(812) 334-8464

NPI assigned

Aug 17, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1790230084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 S EUCLID AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032223",
            "telephone_number": "812-320-0956",
            "fax_number": "812-334-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 S EUCLID AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032223",
            "telephone_number": "812-320-3956",
            "fax_number": "812-334-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENHAM",
        "first_name": "SHERI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007594A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Benedek, NP
• Linda A Benedict, NP
• Andrew Michael Benedum, BCBA
• Rita Benefo
• Kimberly Benham, DO
• Autumn Lee Bennett
• Dalton Bennett, DPT, PT
• Jamie Bennett, MSW, LSW
• Tyson Bennett, RBT
• Alyssa Marie Bentz, OD, MS

• Clinical Social Worker in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.