Individual provider Active NPI

Samantha Benac, MSW, LSW

  • Clinical Social Worker
  • Dayton, OH
National Provider Identifier
1942804570
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2507280 Issued in OH
Practice address
1222 S Patterson Blvd Ste 230
Dayton, OH 45402-2643
Phone
(614) 643-6846
NPI assigned
Nov 24, 2020
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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 I.2507280 OH Primary

Addresses

Primary practice location

1222 S Patterson Blvd Ste 230
Dayton, OH 45402-2643

Mailing address

1222 S Patterson Blvd Ste 230
Dayton, OH 45402-2643
Phone (614) 643-6846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20251022003782 OH Practitioner - Clinical Social Worker 6305334293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Ohio State University College of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1222 S Patterson Blvd
Suite 150
Dayton, OH 45402-2657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2507280OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Equitas Health, Inc CurrentSince Oct 9, 2025 Accepting new patients
Equitas Health, Inc CurrentSince Oct 9, 2025 Accepting new patients
Equitas Health,Inc Current Accepting new patients
Equitas Health, Inc Past Accepting new patients

Locations

1033 N High St
Columbus, OH 43201
Phone (614) 340-6776

L3842
Columbus, OH 43260

1222 S Patterson Blvd
Ste 230
Dayton, OH 45402
Phone (937) 223-5350

2805 Gilbert Ave
Walnut Hills, OH 45206
Phone (513) 281-4116

Interoperability endpoints

  • Direct secure messaging: samantha.benac@489656322949124.direct.elationemr.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1942804570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 S PATTERSON BLVD STE 230",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022643",
            "telephone_number": "614-643-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 S PATTERSON BLVD STE 230",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022643",
            "telephone_number": "614-643-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAC",
        "first_name": "SAMANTHA",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2507280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.