Healthcare Provider Details

I. General information

NPI: 1124944673
Provider Name (Legal Business Name): BENNY JOE MAY LGSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: BENN MAY

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 G ST NW STE 710
WASHINGTON DC
20005-5030
US

IV. Provider business mailing address

1360 PEABODY ST NW APT 207
WASHINGTON DC
20011-1861
US

V. Phone/Fax

Practice location:
  • Phone: 202-998-6134
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLG2000004838
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: