Andrew T Benson, LCSW

Individual provider Active NPI Clinical Social Worker · Atascadero, CA

NPI 1881850147 · NPPES record last updated Sep 2, 2023

Key facts

NPI
1881850147
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LCSW88861 (CA)
Practice address
9185 Arvine CT
Atascadero, CA 93422-6052
Phone
(805) 243-8050
NPI assigned
Aug 5, 2008
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LCSW88861CAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW88861 CA Yes

Addresses

Primary practice location

9185 Arvine CT
Atascadero, CA 93422-6052

Mailing address

PO Box 1142
Atascadero, CA 93423-1142
Phone (805) 243-8050

Other providers in Atascadero, CA

All providers in Atascadero, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.