Individual provider · Type 1 NPI

Tracey Ann Benton, L.I.S.W.

Clinical Social Worker · Yellow Springs, OH

NPI number 1639488901 Active

Practice location

416 Xenia Ave
Yellow Springs, OH 45387-1836

Call (937) 767-9171 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X992261 (CO)
Clinical Social Worker Primary 1041C0700XI 1302471 (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 1639488901

Tracey Ann Benton, L.I.S.W.'s National Provider Identifier is 1639488901, issued on Oct 4, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Yellow Springs, OH. The record was last updated on Jun 18, 2013.