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NPI Code Detail

MEDICARE: ARIANA MARIE O'SHEA BENES MSW, LCSW

MEDICARE: ARIANA MARIE O'SHEA BENES MSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker28495MD
21041C0700XClinical Social WorkerLC200003200DC
31041C0700XClinical Social Worker9246TN

General Provider Information

NPI Number : 1417667536
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIANA MARIE O'SHEA BENES MSW, LCSW
Provider Business Mailing Address
First Line : 5300 CENTENNIAL BLVD STE 210
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-1696
Country : US
Telephone Number : 615-882-4196
Fax Number : 615-413-9995
Provider Business Practice Location Address
First Line : 5300 CENTENNIAL BLVD STE 210
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-1696
Country : US
Telephone Number : 615-882-4196
Fax Number : 615-413-9995
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2022
Last Update Date : 08/14/2024

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