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NPI Code Detail

MEDICARE: JANICE BENZ LMSW

MEDICARE: JANICE BENZ LMSW
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
11041C0700XClinical Social Worker0076280NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821196411
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE BENZ LMSW
Provider Business Mailing Address
First Line : 6234 GLOSSER RD
Second Line :
City : BELMONT
State : NY
Zip : 14813-9534
Country : US
Telephone Number : 585-268-5582
Fax Number :
Provider Business Practice Location Address
First Line : 115 LIBERTY ST
Second Line :
City : BATH
State : NY
Zip : 14810-1508
Country : US
Telephone Number : 607-776-6577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 05/31/2011

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Directions to “ JANICE BENZ LMSW” Practice Location

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