Individual
MS. ADRIENNE BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1268 MAIN ST, SUITE 101, NEWINGTON, CT 06111-3038
(860) 667-9498
(860) 667-2408
Mailing address
1268 MAIN ST, SUITE 101, NEWINGTON, CT 06111-3038
(860) 667-9498
(860) 667-2408
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002662
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015430
CIGNA
CT
01
—
140002662CT01
BLUE CROSS
CT
01
—
163057
VALUE OPTIONS
CT
01
—
283967
MHN
CT
Enumeration date
08/16/2006
Last updated
07/08/2007
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