Individual provider · Type 1 NPI

Kelly Bencivenni

Clinical Social Worker · Chardon, OH

NPI number 1184087702 Active

Practice location

695 South St, Suite 6
Chardon, OH 44024

Call (440) 286-1553 Map

Fax (440) 286-1318

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI.1700035 (OH)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1184087702

Kelly Bencivenni's National Provider Identifier is 1184087702, issued on Mar 31, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chardon, OH. The record was last updated on Sep 4, 2018.