Individual provider Active NPI

Theresa R Bensky, M.S.W., L.I.S.W.

  • Clinical Social Worker
  • Creston, IA
National Provider Identifier
1922011139
Registry record updated Mar 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
01222 Issued in IA
Practice address
900 W Montgomery St
Creston, IA 50801
Phone
(641) 782-6832
Fax
(641) 782-6832
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 01222 IA Primary

Addresses

Primary practice location

900 W Montgomery St
Creston, IA 50801

Mailing address

900 W Montgomery St
Creston, IA 50801
Phone (641) 782-6832

Other identifiers 1

IdentifierTypeStateIssuer
01199OtherIABLUE CROSS / BLUE SHEILD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151012001777 IA Practitioner - Clinical Social Worker 4183933211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

900 W Montgomery St
Creston, IA 50801-2014
Phone (641) 782-6832

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01222IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theresa R Bensky LLC CurrentSince Sep 28, 2015 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553385600000",
    "number": "1922011139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W MONTGOMERY ST",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "50801",
            "telephone_number": "641-782-6832",
            "fax_number": "641-782-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W MONTGOMERY ST",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "50801",
            "telephone_number": "641-782-6832",
            "fax_number": "641-782-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSKY",
        "first_name": "THERESA",
        "middle_name": "R",
        "credential": "M.S.W., L.I.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2019-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "01222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHEILD",
            "identifier": "01199",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Creston, IA

Sources for this page

Verify at the official NPI Registry.