Benjamin Fetzner, LCSW
Social Worker, Clinical in Enfield, Connecticut
1790678977- Practice location
- 72 Shaker RD Ste 7, Enfield, CT 06082-3110
- Phone
- 860-698-3040
- Fax
- 860-749-2613
- Last updated
- May 29, 2025
Benjamin Fetzner is a Social Worker, Clinical based in Enfield, CT. Benjamin Fetzner practices in Enfield, CT and has the professional credentials of LCSW. The NPI Number for Benjamin Fetzner is 1790678977 and holds a License No. 58.015160 (CT). The current practice location address for Benjamin Fetzner is 72 Shaker RD Ste 7, Enfield, CT 06082-3110 and can be reached out via phone at 860-698-3040 and via fax at 860-749-2613.
Provider Profile Details
- NPI Number
- 1790678977
- Provider Name
- Benjamin Fetzner
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 72 Shaker RD Ste 7, Enfield, CT 06082-3110
- Phone Number
- 860-698-3040
- Fax Number
- 860-749-2613
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 29, 2025
- Last Update Date
- May 29, 2025
- Certification Date
- May 29, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 72 Shaker RD Ste 7
Enfield, CT 06082-3110 - City
- Enfield
- State
- Connecticut
- Zip
- 06082-3110
- Phone Number
- 860-698-3040
- Fax Number
- 860-749-2613
Provider Business Mailing Address Details
- Address
- 72 Shaker RD Ste 7
Enfield, CT 06082-3110 - City
- Enfield
- State
- CT
- Zip
- 06082-3110
- Phone Number
- 860-698-3040
- Fax Number
- 860-749-2613
License Information
- License Number
- 58.015160
- License State
- CT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Fetzner, LCSW?
The NPI number of Benjamin Fetzner, LCSW is 1790678977. It was assigned on May 29, 2025 and is currently active in the NPPES registry.
What is the specialty of Benjamin Fetzner, LCSW?
Benjamin Fetzner, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 58.015160.
Where does Benjamin Fetzner, LCSW practice?
The practice location is 72 Shaker RD Ste 7, Enfield, CT 06082-3110. The office can be reached at 860-698-3040 (phone) or 860-749-2613 (fax).
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 1790678977 directly on the NPPES registry website.