Susan Ariana Tarisa Benham, is a
Social Worker based in South Lake Tahoe, California. Susan Ariana Tarisa Benham is licensed to practice in California (license number ASW107313) and her current practice location is
1900 Lake Tahoe Blvd, South Lake Tahoe, California. She can be reached at her office (for appointments etc.) via phone at
(530) 318-4824.
NPI number for Susan Ariana Tarisa Benham is 1154065639 and her current mailing address is 1900 Lake Tahoe Blvd, South Lake Tahoe, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154065639.
Healthcare Provider's Profile
Full Name | Susan Ariana Tarisa Benham |
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Gender | Female |
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Speciality | Social Worker |
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Location | 1900 Lake Tahoe Blvd, South Lake Tahoe, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154065639
- Provider Enumeration Date: 04/21/2022
- Last Update Date: 06/30/2023
Medical Identifiers
Medical identifiers for Susan Ariana Tarisa Benham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154065639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
104100000X | Social Worker | ASW107313 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan Ariana Tarisa Benham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Susan Ariana Tarisa Benham, 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 Ph: (530) 318-4824 | Susan Ariana Tarisa Benham, 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 Ph: (530) 318-4824 |
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