Benjamin, Camille

Benjamin, Camille is an individual health care provider with primary practice located at 32 Letters St , Putnam CT 06260-2016. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Benjamin, Camille can be contacted via phone (860) 928-1303.

Contact Information

Primary practice address
32 Letters St Putnam CT 06260-2016
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW2027128-2 Connecticut

Profile Details

NPI number 1013009869
LBN Legal business name Benjamin, Camille
Credentials M.S.W., L.C.S.W
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Jan 23rd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013009869 NPPES
Massachusetts MEDICAID 1013009869
Massachusetts MEDICAID 009854

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