Paul Clark Bennett, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 5027 Issued in CA

Practice address

1212 W Main St
Visalia, CA 93291-5917

Phone

(559) 741-1378

Fax

(559) 741-1379

NPI assigned

Nov 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• The Helix Group

  • Clinical Social Worker
  • Visalia, CA
  • NPI 1447477302
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499990400000",
    "number": "1831265388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 W MAIN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915917",
            "telephone_number": "559-972-6210",
            "fax_number": "559-738-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 W MAIN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915917",
            "telephone_number": "559-741-1378",
            "fax_number": "559-741-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "PAUL",
        "middle_name": "CLARK",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2017-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 5027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID",
            "identifier": "ZZZ23697Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Sue Benavides
• Bencal
• Christopher D Bencomo, MD
• Kahlei Mashell Benevedes
• Kathy I Benjamin, LMFT
• Sandra Thrasher Bennett, LCSW
• Anu Benny, MD
• Kendra Benson
• William David Benson, BCHIS
• Veronica Regalado Berdusco

• Clinical Social Worker in Visalia, CA
• Providers in Visalia, 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 Jul 14, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.