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BENJAMIN FETZNER LCSW
NPI 1790678977
Social Worker - Clinical in Enfield, CT

Active since May 29, 2025PECOS Enrolled
72 SHAKER RD STE 7, ENFIELD, CT 06082(860) 698-3040(860) 749-2613 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benjamin Fetzner Lcsw NPPES

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

BENJAMIN FETZNER LCSW (NPI 1790678977) is an individual clinical provider in Enfield, Connecticut, licensed in Connecticut (58.015160) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790678977
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBENJAMIN FETZNERCredential: LCSW
Location Address72 SHAKER RD STE 7Enfield, CT 06082-3110
Mailing Address72 Shaker Rd Ste 7Enfield, CT 06082-3110 · (860) 698-3040 · Fax (860) 749-2613
Phone(860) 698-3040
Fax(860) 749-2613
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 29, 2025
NPPES CertifiedMay 29, 2025
✔ NPI 1790678977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 58.015160
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.
72 SHAKER RD STE 7, Enfield, CT 06082
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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 (PECOS)

Benjamin Fetzner Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486153277
PECOS Enrollment IDI20250819001121
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06082 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 3

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

SARAH D ABBOTT LPC-A
Counselor (Mental Health)
72 SHAKER RD STE 7
ENFIELD, CT 06082
Capitol Planning Region (860) 698-3061
MARY MANGINI LPC
Counselor (Professional)
72 SHAKER RD STE 7
ENFIELD, CT 06082
Capitol Planning Region (860) 698-3040
GARY LINDQUIST
Counselor (Professional)
72 SHAKER RD STE 7
ENFIELD, CT 06082
Capitol Planning Region (860) 749-2243

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 Fetzner's NPI number?

The NPI number for Benjamin Fetzner is 1790678977. It was assigned to this individual provider in the NPPES registry on May 29, 2025.

Where is Benjamin Fetzner located?

Benjamin Fetzner practices at 72 Shaker Rd Ste 7, Enfield, CT 06082. The listed phone number is (860) 698-3040.

What is Benjamin Fetzner's specialty?

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

Is Benjamin Fetzner enrolled in Medicare?

Yes. Benjamin Fetzner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Fetzner was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.