Active NPIIndividual providerSole proprietor

Benjamin B Staines, LICSW

Social Worker, Clinical in Northborough, Massachusetts

NPI Number1548543978
Practice location
300 W Main St, Building B, Northborough, MA 01532-2132
Fax
—
Last updated
March 16, 2016

Benjamin Baker Staines is a Social Worker, Clinical based in Northborough, MA. Benjamin Baker Staines practices in Northborough, MA and has the professional credentials of LICSW. The NPI Number for Benjamin Baker Staines is 1548543978 and holds a License No. 119392 (MA). The current practice location address for Benjamin Baker Staines is 300 W Main St, Building B, Northborough, MA 01532-2132 and can be reached out via phone at 978-310-1041.

Provider Profile Details

NPI Number
1548543978
Provider Name
Benjamin Baker Staines
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
300 W Main St, Building B, Northborough, MA 01532-2132
Phone Number
978-310-1041
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 22, 2011
Last Update Date
March 16, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 W Main St
Building B
Northborough, MA 01532-2132
Zip
01532-2132
Phone Number
978-310-1041
Northborough, MA 01532Get directions →

Provider Business Mailing Address Details

Address
68 Bennett St
Hudson, MA 01749
City
Hudson
State
MA
Zip
01749
Phone Number
978-310-1041

License Information

License Number
119392
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Benjamin B Staines, LICSW?

The NPI number of Benjamin B Staines, LICSW is 1548543978. It was assigned on September 22, 2011 and is currently active in the NPPES registry.

What is the specialty of Benjamin B Staines, LICSW?

Benjamin B Staines, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 119392.

Where does Benjamin B Staines, LICSW practice?

The practice location is 300 W Main St, Building B, Northborough, MA 01532-2132. The office can be reached at 978-310-1041 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548543978 directly on the NPPES registry website.

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