Provider Demographics
NPI:1679351308
Name:TARA BENSON LCSW PLLC
Entity type:Organization
Organization Name:TARA BENSON LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH PROFESSIONAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BENSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:716-359-3684
Mailing Address - Street 1:3960 HARLEM RD STE 13
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4746
Mailing Address - Country:US
Mailing Address - Phone:716-446-4168
Mailing Address - Fax:716-446-4140
Practice Address - Street 1:3960 HARLEM RD STE 13
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-4746
Practice Address - Country:US
Practice Address - Phone:716-446-4168
Practice Address - Fax:716-446-4140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty