Provider Demographics
NPI:1982907580
Name:BENCHSKY, KIMBERLY (LMHC, CCATP)
Entity type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:
Last Name:BENCHSKY
Suffix:
Gender:F
Credentials:LMHC, CCATP
Other - Prefix:MS
Other - First Name:KIMBERLY
Other - Middle Name:
Other - Last Name:QUADROS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:2220 PLAINFIELD PIKE KB
Mailing Address - Street 2:STE. 5W
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02921-2001
Mailing Address - Country:US
Mailing Address - Phone:401-680-0211
Mailing Address - Fax:401-942-2416
Practice Address - Street 1:2220 PLAINFIELD PIKE
Practice Address - Street 2:STE. 5W
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02921-2001
Practice Address - Country:US
Practice Address - Phone:401-680-0211
Practice Address - Fax:401-942-2416
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-21
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00624101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIGH57134Medicaid