Suzanne S Benites, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

602 Strada Cir Ste 101
Mansfield, TX 76063-3201

Phone

(817) 482-9905

NPI assigned

Aug 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Therathrive LLC

  • Adult Mental Health Clinic/Center
  • Mansfield, TX
  • NPI 1790335271
  NPD Authorized official

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1851870034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 HAMPTON DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637915",
            "telephone_number": "817-482-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 STRADA CIR STE 101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633201",
            "telephone_number": "817-482-9905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1527 Hemphill St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044706",
            "country_code": "US",
            "telephone_number": "817-335-3022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENITES",
        "first_name": "SUZANNE",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "61995",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bemax Home Health Care
• Tiffanie Marquita Bembry, LPC
• Kylie Bena
• Aurora Benash, RBT
• Toni Annetta Bengochea, PTA
• Benjamin Ybarra, P.a.
• Shannon Diann Benko, NP-C
• Alycia Bennett, PHD
• Melanie Bennett
• Paul H. Benson, M.D.

• Clinical Social Worker in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.