SUSAN ARIANA TARISA BENHAM
NPI 1154065639
Social Worker in South Lake Tahoe, CA

Q: What is Susan Ariana Benham's NPI number?

The NPI number for Susan Ariana Benham is 1154065639. It was assigned to this individual provider in the NPPES registry on April 21, 2022.

Q: What is Susan Ariana Benham's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since April 21, 2022PECOS EnrolledAccepts Medicare Assignment

1900 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150(530) 318-4824 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Susan Ariana Tarisa Benham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN ARIANA TARISA BENHAM (NPI 1154065639) is an individual social worker in South Lake Tahoe, California, licensed in California (ASW107313) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1154065639

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameSUSAN ARIANA TARISA BENHAM

Location Address1900 LAKE TAHOE BLVDSouth Lake Tahoe, CA 96150-6305

Mailing Address1900 Lake Tahoe BlvdSouth Lake Tahoe, CA 96150-6305 · (530) 318-4824

Phone(530) 318-4824

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateApril 21, 2022

Last NPPES UpdateJune 30, 2023

NPPES CertifiedJune 30, 2023

✔ NPI 1154065639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in CA · ASW107313

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

1900 LAKE TAHOE BLVD, South Lake Tahoe, CA 96150

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan Ariana Tarisa Benham is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840772984

PECOS Enrollment IDI20260306001924

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY MARIE MAVON

Case Manager/Care Coordinator