Healthcare Provider Details

I. General information

NPI: 1245770296
Provider Name (Legal Business Name): BENJAMIN STEIN LSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2017
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 MESSIMER DR
NEWARK OH
43055-1874
US

IV. Provider business mailing address

914 KING RD APT. C
NEWARK OH
43055-2276
US

V. Phone/Fax

Practice location:
  • Phone: 740-522-8477
  • Fax:
Mailing address:
  • Phone: 740-788-0336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2607882
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: