Provider Demographics
NPI:1952102279
Name:BENOIT, BEVERLY (LCSW, LMSW-CC)
Entity type:Individual
Prefix:
First Name:BEVERLY
Middle Name:
Last Name:BENOIT
Suffix:
Gender:
Credentials:LCSW, LMSW-CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 CHOCTAW ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29626-4028
Mailing Address - Country:US
Mailing Address - Phone:864-337-2043
Mailing Address - Fax:
Practice Address - Street 1:611 CHOCTAW ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29626-4028
Practice Address - Country:US
Practice Address - Phone:864-337-2043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-22
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA21207341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical