# MR. BENJAMIN H ROBERTSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1912279423
- **Gender:** Man
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 31853 | ID | — |
| 1041C0700X | Clinical Social Worker | 5645 | ND | Yes |
| 1041C0700X | Clinical Social Worker | LCSW-994 | WY | — |
| 1041C0700X | Clinical Social Worker | PCSW-638 | WY | — |

## Other

- **Enumeration date:** 01/30/2012
- **Last updated:** 03/16/2020