Provider Demographics
NPI:1811265267
Name:SCHWINKE, BENJAMIN L (LCPC, CRC)
Entity type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:L
Last Name:SCHWINKE
Suffix:
Gender:M
Credentials:LCPC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 N WASHINGTON ST
Mailing Address - Street 2:SUITE 328-G
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-2223
Mailing Address - Country:US
Mailing Address - Phone:301-525-2029
Mailing Address - Fax:
Practice Address - Street 1:110 N WASHINGTON ST
Practice Address - Street 2:SUITE 328-G
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-2223
Practice Address - Country:US
Practice Address - Phone:301-525-2029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-13
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4553101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health