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Beverly Ann Benner (LCSW)

Mrs. Beverly Ann Benner (LCSW) is a health care provider specializes in Social Worker. She is associated with medical group practice THE OTIS R BOWEN CENTER FOR HUMAN SERVICES INC.

profile-icon Basic Information

Practice Location 901 S Huntington St, Syracuse, IN 46567-1923, US
Practice Location Phone574-457-4400
Practice Location Fax574-457-4141
GenderFemale
Specialty InSocial Worker
Medical SchoolUniversity Of Illinois At Chicago Health Science Center
Graduation Year1992
NPI ?1245378579
PECOS ID6901952886
Enrollment IDI20090917000314
Entity TypeIndividual
Enumeration Date ? Feb 1, 2007
Last Update Date ? Nov 5, 2010
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Beverly Ann Benner

SpecialtySpecializationLicenseLicense State
Social WorkerClinical 34005119AIndiana

Medicare-icon Medicare Participation of Beverly Ann Benner

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Beverly Ann Benner

Medical Group PracticeThe Otis R Bowen Center For Human Services Inc

legacy-id-icon Legacy Provider IDs of Beverly Ann Benner

Provider IdIssuer StateIssuer TypeIssuer
200804500Medicare Upin
112989615OtherUBH
227270AMedicare Id-type Unspecified
000000490536OtherANTHEM
100113330IndianaMedicaid