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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB EDWARD BENITES, LCSW

Deactivated Sole Proprietor

JACOB EDWARD BENITES, LCSW is a Clinical Social Worker healthcare provider located in TEMPE, Arizona. NPI 1902539596 is deactivated in the NPPES registry. Verify at CMS.

Clinical Social Worker · TEMPE, AZ

This NPI has been deactivated. The record was deactivated on July 20, 2023. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1902539596
Provider Type
Individual
Gender
Male
NPI Issued
Jul 1, 2022 (1.051912568306 yrs)
Last Updated
Mar 5, 2026
Deactivated
Jul 20, 2023
License
LCSW-23633 (AZ)
Sole Proprietor
Yes

Practice Information

Address
2177 E WARNER RD STE 101
TEMPE, AZ, 852843511
Browse AZ providers · Browse ZIP 85284
Phone
4805730000
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in TEMPE, AZ

Name Credential NPI
JUDY ANN CARRAN MSW, LCSW 1912904194
DIANA E BOYD LCSW 1538159462
KATHLEEN A. TODD LCSW 1851375752
DARLENE T DEMMER MSW 1851375497
MR. DAVID A. MCGOWAN LCSW 1023098779
MS. BARBARA NEWTON MSW/LCSW 1275595522
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.