Provider Demographics
NPI:1679828123
Name:BENSLEY, LIANNE WILLIAMS (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:LIANNE
Middle Name:WILLIAMS
Last Name:BENSLEY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 CEDAR ST
Mailing Address - Street 2:SUITE 319
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-1831
Mailing Address - Country:US
Mailing Address - Phone:978-417-9517
Mailing Address - Fax:
Practice Address - Street 1:14 CEDAR ST
Practice Address - Street 2:SUITE 319
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-1831
Practice Address - Country:US
Practice Address - Phone:978-417-9517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-20
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1156501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical