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STACY ILENE BENHAM LCSW
NPI 1912529066
Social Worker - Clinical in Las Vegas, NV

Active since May 12, 2020
2601 S GRAND CANYON DR APT 2003, LAS VEGAS, NV 89117(626) 684-6349 Get Directions Write a Review

NPPES record last updated: May 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy Ilene Benham Lcsw NPPES

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

STACY ILENE BENHAM LCSW (NPI 1912529066) is an individual clinical provider in Las Vegas, Nevada, licensed in Nevada (8186-C) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1912529066
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACY ILENE BENHAMCredential: LCSW
Location Address2601 S GRAND CANYON DR APT 2003Las Vegas, NV 89117-3671
Mailing Address2601 S Grand Canyon Dr Apt 2003Las Vegas, NV 89117-3671 · (626) 684-6349
Phone(626) 684-6349
Sole ProprietorYes
Enumeration DateMay 12, 2020
NPPES CertifiedMay 12, 2020
✔ NPI 1912529066 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 NV · 8186-C
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.
2601 S GRAND CANYON DR APT 2003, Las Vegas, NV 89117
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Stacy Benham's NPI number?

The NPI number for Stacy Benham is 1912529066. It was assigned to this individual provider in the NPPES registry on May 12, 2020.

Where is Stacy Benham located?

Stacy Benham practices at 2601 S Grand Canyon Dr Apt 2003, Las Vegas, NV 89117. The listed phone number is (626) 684-6349.

What is Stacy Benham's specialty?

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

When was this NPI record last updated?

The NPPES record for Stacy Benham was last updated on May 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.