Benjamin W. Jennett, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 21750 Issued in CA

Practice address

71 N Main St
Templeton, CA 93465-5326

Phone

(805) 434-3829

Fax

(805) 434-3839

NPI assigned

Jul 17, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1801050869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 N MAIN ST",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934655326",
            "telephone_number": "805-434-3829",
            "fax_number": "805-434-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 N MAIN ST",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934655326",
            "telephone_number": "805-434-3829",
            "fax_number": "805-434-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNETT",
        "first_name": "BENJAMIN",
        "middle_name": "W.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00009154",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 21750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BOARD OF BEHAVIROL SCIENCES",
            "identifier": "LCS 21750",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "LW00009154",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keiko Ishikawa, L.AC
• Dalton Emil Ishmail, PA-C
• Samkit Jain, MD
• James B Carr MD Inc
• Edward Paul Jardini, M.D.
• Janice Johnson, RDH
• Jillian Marie Johnson, FNP
• Daniel Thor Johnston, MD
• Noreen Johnston, N.P.
• Jonathan Riegler, M.D., Inc.

• Clinical Social Worker in Templeton, CA
• Providers in Templeton, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.