Provider Demographics
NPI:1831630987
Name:BENION, ANNE CATHERINE (LCSW)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:CATHERINE
Last Name:BENION
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 MASON ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-2861
Mailing Address - Country:US
Mailing Address - Phone:131-331-8138
Mailing Address - Fax:
Practice Address - Street 1:1245 MASON ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2861
Practice Address - Country:US
Practice Address - Phone:313-318-1384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-08
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW721341041C0700X
MI68010128201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical