Individual
C. LEIGH BENOWITZ
Active
Individual
C. LEIGH BENOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, BCD
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
106972
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000277988000
AETNA PROVIDER NUMBER
—
01
—
372730
MAGELLAN PROVIDER NUMBER
MA
01
—
PO4434
BC/BS PROVIDER NUMBER
MA
Enumeration date
07/23/2006
Last updated
07/08/2007
Update your record
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