Provider Demographics
NPI:1073193082
Name:HILSMAN, BENJAMIN CALHOUN
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:CALHOUN
Last Name:HILSMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 F AVE
Mailing Address - Street 2:
Mailing Address - City:CAYCE
Mailing Address - State:SC
Mailing Address - Zip Code:29033-3337
Mailing Address - Country:US
Mailing Address - Phone:864-415-1045
Mailing Address - Fax:
Practice Address - Street 1:140 STONERIDGE DR STE 350
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-8258
Practice Address - Country:US
Practice Address - Phone:803-779-8444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC141911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical