BENJAMIN FENNIMORE LCSW
NPI 1881094324
Social Worker - Clinical in Salem, OR

Active since September 03, 2014
1787 STATE ST, SALEM, OR 97301(503) 566-2132 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 5, 2023, Apr 2, 2020, Jul 8, 2019 (3 updates tracked since 2019).

About Benjamin Fennimore Lcsw NPPES

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

BENJAMIN FENNIMORE LCSW (NPI 1881094324) is an individual clinical provider in Salem, Oregon, licensed in Oregon (L11039) and active in the NPI registry since September 2014. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1881094324
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBENJAMIN FENNIMORECredential: LCSW
Location Address1787 STATE STSalem, OR 97301-4342
Mailing Address2860 Winter St SeSalem, OR 97302-3155 · (503) 428-2948
Sole ProprietorYes
Enumeration DateSeptember 3, 2014
Last NPPES UpdateJuly 5, 20233 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
NPI 1881094324 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 OR · L11039
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X
1787 STATE ST, Salem, OR 97301

Secondary Practice Locations 2

Location 12425 Lancaster Dr NESalem, OR 97305-1220 · Phone (503) 566-2132 · Fax (503) 566-2134
Location 2494 State St Ste 270Salem, OR 97301-3647 · Phone (503) 583-2121

Other Identifiers 2

Medicaid1417567983OR
Medicaid1255964730OR

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Counselor (Mental Health)
1787 STATE ST
SALEM, OR 97301
Counselor (Mental Health)
1787 STATE ST
SALEM, OR 97301
Case Manager/Care Coordinator
1787 STATE ST
SALEM, OR 97301
Counselor (Mental Health)
1787 STATE ST
SALEM, OR 97301
Counselor (Mental Health)
1787 STATE ST
SALEM, OR 97301
Counselor (Mental Health)
1787 STATE ST
SALEM, OR 97301
Counselor (Mental Health)
1787 STATE ST
SALEM, OR 97301

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 Fennimore's NPI number?

The NPI number for Benjamin Fennimore is 1881094324. It was assigned to this individual provider in the NPPES registry on September 3, 2014.

Where is Benjamin Fennimore located?

Benjamin Fennimore practices at 1787 State St, Salem, OR 97301. The listed phone number is (503) 566-2132.

What is Benjamin Fennimore's specialty?

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

What insurance does Benjamin Fennimore accept?

Health plans from Moda Health Plan, Inc. list Benjamin Fennimore 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 Fennimore was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.