MARY ROSE BENSON LCSW
NPI 1548733629
Social Worker - Clinical in Chicago, IL

Q: What is Mary Rose Benson's NPI number?

The NPI number for Mary Rose Benson is 1548733629. It was assigned to this individual provider in the NPPES registry on January 10, 2019.

Q: What is Mary Rose Benson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Rose Benson was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since January 10, 2019PECOS Enrolled

5359 W FULLERTON AVE, CHICAGO, IL 60639(773) 836-2785 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2024, Feb 2, 2023, Jan 10, 2019 (3 updates tracked since 2019).

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About Mary Rose Benson Lcsw NPPES

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

MARY ROSE BENSON LCSW (NPI 1548733629) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149025141) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1548733629

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARY ROSE BENSONCredential: LCSW

Location Address5359 W FULLERTON AVEChicago, IL 60639-1450

Mailing Address5359 W Fullerton AveChicago, IL 60639-1450 · (773) 836-2785

Phone(773) 836-2785

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 10, 2019

Last NPPES UpdateJuly 17, 20243 updates tracked since enumeration

NPPES CertifiedJuly 17, 2024

✔ NPI 1548733629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IL · 149025141

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5359 W FULLERTON AVE, Chicago, IL 60639

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Rose Benson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092290759

PECOS Enrollment IDI20260331001118

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 Reassignment

Medicare enrollment records show Mary Rose Benson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pcc Community Wellness Center

2.6 mi

Federally Qualified Health Center (FQHC)

14 LAKE ST
Oak Park, IL 60302

Reassigned Medicare billing, Illinois enrollment
221 clinicians in this Medicare group

NPI 1871516799 (708) 383-0113

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60639 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 $60.08 – $183.39

Typical copayment $0.00 (range $15.02 – $45.84)

Most-billed visit code NA

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

KRISTEN MARIE MOSER M.D.

Family Medicine