Provider Demographics
NPI:1053445007
Name:BENAVIDES, CATHY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CATHY
Middle Name:
Last Name:BENAVIDES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:
Other - Last Name:BENAVIDES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1368 S RIDGELEY DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90019-2659
Mailing Address - Country:US
Mailing Address - Phone:310-213-3408
Mailing Address - Fax:
Practice Address - Street 1:21010 ANZA AVE APT 10
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4299
Practice Address - Country:US
Practice Address - Phone:310-213-3408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA293571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical