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BENJAMIN WILLIAM SWIERK LICSW
NPI 1275134389
Social Worker - Clinical in Middletown, RI

Active since November 04, 2020PECOS EnrolledAccepts Medicare Assignment
42 VALLEY RD, MIDDLETOWN, RI 02842(401) 843-1213 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 8, 2025, Dec 4, 2025, Aug 30, 2023 and 1 more (4 updates tracked since 2020).

About Benjamin William Swierk Licsw NPPES

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

BENJAMIN WILLIAM SWIERK LICSW (NPI 1275134389) is an individual clinical provider in Middletown, Rhode Island, licensed in Rhode Island (ISW04667) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1275134389
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBENJAMIN WILLIAM SWIERKCredential: LICSW
Location Address42 VALLEY RDMiddletown, RI 02842-6400
Mailing Address42 Valley RdMiddletown, RI 02842-6400 · (401) 843-1213
Phone(401) 843-1213
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 4, 2020
Last NPPES UpdateDecember 8, 20254 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1275134389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in RI · ISW04667✔ Licensed in RI · CSW02703
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
42 VALLEY RD, Middletown, RI 02842
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin William Swierk Licsw 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 ID3274988571
PECOS Enrollment IDI20231005003034
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Benjamin Swierk reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Newport County Community Mental Health Center, Inc
Same address
Mental Health (Including Community Mental Health Center)
42 VALLEY RD
Middletown, RI 02842
  • Reassigned Medicare billing, Rhode Island enrollment
  • 58 clinicians in this Medicare group
NPI 1093713174 (401) 846-1213
Prospect Chartercare Rwmc, LLC
23 mi
Internal Medicine
825 CHALKSTONE AVE
Providence, RI 02908
  • Reassigned Medicare billing, Rhode Island enrollment
  • 162 clinicians in this Medicare group
NPI 1285059287 (401) 456-2000
Prospect Chartercare Sjhsri, LLC
25 mi
Internal Medicine
200 HIGH SERVICE AVE
North Providence, RI 02904
  • Reassigned Medicare billing, Rhode Island enrollment
  • 110 clinicians in this Medicare group
NPI 1588089759 (401) 456-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02842 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.57 – $177.03
Typical copayment $0.00 (range $14.64 – $44.25)
Most-billed visit code NA
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KATIA E. CUSTER LCSW, MSW
Social Worker (Clinical)
42 VALLEY RD
MIDDLETOWN, RI 02842
Newport County (401) 236-1873
CATHERINE ANNE HAMEL LMHC
Counselor (Mental Health)
42 VALLEY RD
MIDDLETOWN, RI 02842
Newport County (401) 846-1213
ALISON TURNER LMHC
Counselor (Mental Health)
42 VALLEY RD
MIDDLETOWN, RI 02842
Newport County (401) 846-1213
AMY C SANBORN
Counselor (Mental Health)
42 VALLEY RD
MIDDLETOWN, RI 02842
Newport County (401) 846-1213
KATHLEEN MARIE LOSOYA
Social Worker (Clinical)
42 VALLEY RD
MIDDLETOWN, RI 02842
Newport County (401) 846-1213
ANGELIQUE SMITH RN
Registered Nurse
42 VALLEY RD
MIDDLETOWN, RI 02842
Newport County (401) 843-1213
NEWPORT COUNTY COMMUNITY MENTAL HEALTH CENTER, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
42 VALLEY RD
MIDDLETOWN, RI 02842
Newport County (401) 846-1213
HANNA MORRISSETTE - DROWNE
Counselor (Mental Health)
42 VALLEY RD
MIDDLETOWN, RI 02842
Newport County (401) 846-1213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Swierk's NPI number?

The NPI number for Benjamin Swierk is 1275134389. It was assigned to this individual provider in the NPPES registry on November 4, 2020.

Where is Benjamin Swierk located?

Benjamin Swierk practices at 42 Valley Rd, Middletown, RI 02842. The listed phone number is (401) 843-1213.

What is Benjamin Swierk's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Benjamin Swierk enrolled in Medicare?

Yes. Benjamin Swierk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Benjamin Swierk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Swierk reassigns Medicare benefits to 3 organizations: Newport County Community Mental Health Center, Inc (Middletown, RI), Prospect Chartercare Rwmc, LLC (Providence, RI) and Prospect Chartercare Sjhsri, LLC (North Providence, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Swierk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Swierk accept?

Health plans from Harvard Pilgrim Health Care list Benjamin Swierk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Swierk was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.