Individual
BENJAMIN P LIVESAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3220 WISCONSIN AVE STE C, JOPLIN, MO 64804-4074
(417) 347-7730
Mailing address
101 N MAIN ST, PO BOX #101, JOPLIN, MO 64802-2201
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MO
1041C0700X
Clinical Social Worker
118537
TX
1041C0700X
Clinical Social Worker
22305
OK
1041C0700X
Clinical Social Worker
28228
AR
Other
Enumeration date
09/05/2018
Last updated
04/30/2026
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