Active NPI
Lorraine H Benzing, LCSW
- Clinical Social Worker
- Watertown, NY
National Provider Identifier
1912593294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 090476-01
- Practice address
- 20104 Nys Route 3
Watertown, NY 13601-5555 - Phone
- (315) 779-7000
- NPI assigned
- Dec 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 090476-01 | NY | Primary |
Addresses
Primary practice location
20104 Nys Route 3
Watertown, NY 13601-5555
Mailing address
5256 Greig Rd
Greig, NY 13345-1804
Phone (315) 486-6903
Other practice location 1
4264 East Rd
Turin, NY 13473-1347
Phone (315) 348-2570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090476-01 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608508800000",
"number": "1912593294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5256 GREIG RD",
"city": "GREIG",
"state": "NY",
"postal_code": "133451804",
"telephone_number": "315-486-6903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20104 NYS ROUTE 3",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136015555",
"telephone_number": "315-779-7000"
}
],
"practiceLocations": [
{
"address_1": "4264 East Rd",
"address_purpose": "LOCATION",
"city": "Turin",
"state": "NY",
"postal_code": "134731347",
"country_code": "US",
"telephone_number": "315-348-2570",
"fax_number": "315-348-2510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENZING",
"first_name": "LORRAINE",
"middle_name": "H",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-21",
"last_updated": "2020-12-21",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "090476-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.