Provider Demographics
NPI:1477824407
Name:BENSON, CONNILYN (LMSW)
Entity Type:Individual
Prefix:
First Name:CONNILYN
Middle Name:
Last Name:BENSON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4101 SW MARTIN DR STE B
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66609-1221
Mailing Address - Country:US
Mailing Address - Phone:785-783-8438
Mailing Address - Fax:785-861-7147
Practice Address - Street 1:4101 SW MARTIN DR STE B
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66609-1221
Practice Address - Country:US
Practice Address - Phone:785-783-8438
Practice Address - Fax:785-861-7147
Is Sole Proprietor?:No
Enumeration Date:2012-01-23
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5911104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker