Benjamin Fetzner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

58.015160 Issued in CT

Practice address

72 Shaker Rd Ste 7
Enfield, CT 06082-3110

Phone

(860) 698-3040

Fax

(860) 749-2613

NPI assigned

May 29, 2025

Sex

Male

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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Natchaug Hospital, Inc.

  • Psychiatric Hospital
  • Mansfield Center, CT
  • NPI 1295811321
  Medicare reassignment NPD

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1790678977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 SHAKER RD STE 7",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823110",
            "telephone_number": "860-698-3040",
            "fax_number": "860-749-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 SHAKER RD STE 7",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823110",
            "telephone_number": "860-698-3040",
            "fax_number": "860-749-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETZNER",
        "first_name": "BENJAMIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "58.015160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Fenton, LMSW
• Shevanne A Ferguson
• Virginia Susan Ferlan, M.D.
• Brian J. Ferreira, MSPT
• Jessica Angela Nichole Fett, APRN
• Jessica Nicole Fields, OTR/L
• Fignar Family Practice, LLC
• Timothy Alan Fignar, MD
• Iliana Figueroa, PHARMD
• Joshua Figueroa

• Clinical Social Worker in Enfield, CT
• Providers in Enfield, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.