Andrew Chase Bentley, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7680 Issued in OK

Practice address

5030 N May Ave Ste 378
Oklahoma City, OK 73112-6010

Phone

(405) 254-6206

Fax

(405) 497-6794

NPI assigned

Oct 23, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Forge Therapy PLLC

  • Adult Mental Health Clinic/Center
  • Oklahoma City, OK
  • NPI 1679287320
  NPD Authorized official

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721520000000",
    "number": "1851867378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 N MAY AVE STE 378",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731126010",
            "telephone_number": "405-254-6206",
            "fax_number": "405-497-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 N MAY AVE STE 378",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731126010",
            "telephone_number": "405-254-6206",
            "fax_number": "405-497-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "ANDREW",
        "middle_name": "CHASE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-23",
        "last_updated": "2024-07-21",
        "certification_date": "2024-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "13091",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "6238",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "7680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin B. Benson, D.D.S.
• Susan Elizabeth Benson, PH.D.
• Valisa Charcola Benson
• Alison Makenzie Bentley, CCC-SLP
• Amber L Bentley, RD
• Reed Bentley
• Aimee Benton, LPC
• Amber Benton
• Bohanan Anthony Benton
• Michael J Benton, P.A.-C

• Clinical Social Worker in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2024; 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.