Individual provider Active NPI

Beverly Benoit, LCSW

  • Clinical Social Worker
  • Anderson, SC
National Provider Identifier
1952102279
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC25262 Issued in ME
Practice address
611 Choctaw St
Anderson, SC 29626-4028
Phone
(864) 337-2043
NPI assigned
Mar 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2120734 MA
Clinical Social Worker 1041C0700X LC25262 ME Primary

Addresses

Primary practice location

611 Choctaw St
Anderson, SC 29626-4028

Mailing address

611 Choctaw St
Anderson, SC 29626-4028
Phone (864) 337-2043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20251014001020 CT Practitioner - Clinical Social Worker 8628565751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1128 Wayne Lee Rd
Lucedale, MS 39452-7233

410 Old Hwy 81
Oxford, GA 30054

611 Choctaw St
Anderson, SC 29626-4028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2120734MAMDClinical Social Worker
LC25262MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oak & Stone Mental Health PC CurrentSince Sep 21, 2025 Accepting new patients
Kinder Mind LLC Clinical CurrentSince Sep 5, 2025 Accepting new patients

Locations

430 New Park Ave
Ste 102
West Hartford, CT 06110
Phone (647) 400-5180

6650 Rivers Ave
Ste 100
North Charleston, SC 29406
Phone (407) 469-5088

Organizations & group practices 2

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": "1742601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1952102279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 CHOCTAW ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296264028",
            "telephone_number": "864-337-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 CHOCTAW ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296264028",
            "telephone_number": "864-337-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "BEVERLY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-22",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "2120734",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC25262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.