BENJAMIN JOEL CROCKETT (NPI# 1841610672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841610672 |
| Entity Type | Individual |
| Full Name | BENJAMIN JOEL CROCKETT |
| Practice Address |
11184 Sw Bel Aire Ln Beaverton OR 97008-5918 |
| Practice Telephone | 9713229186 |
| Mailing Telephone | 9713229186 |
| Enumeration Date | 2014-04-19 |
| Last Update Date | 2014-04-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164601738 | Benjamin David Crockett | Dentist | 344 Ne Marshall Ave, Bend, OR 97701-4346 | 2007-10-30 |
| 1821574708 | Benjamin Crockett | Dentist | 385 S Columbia St, Chapel Hill, NC 27599-0001 | 2018-07-13 |
| Street Address |
11184 SW BEL AIRE LN |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97008-5918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
| 1700305315 | Heather Denise Glenn | Counselor | 6700 Sw 105th Avenue, Suite 203, Beaverton, OR 97008 | 2017-09-14 |
| 1649798265 | Timothy Wilkins | Counselor | 8285 Sw Nimbus Ave #148, Beaverton, OR 97008 | 2017-09-04 |
| 1962920751 | West End Surgical, LLC | Clinic/Center | 9405 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-09-01 |
| 1073054714 | University Professional Services | Durable Medical Equipment & Medical Supplies | 9317 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-03-14 |
| 1508311424 | Mitra Gaspeed | Dental Hygienist | 8615 Sw Thoroughbred Pl., Beaverton, OR 97008 | 2016-08-20 |
| 1740521988 | Donna Louise Grenier | Registered Nurse | 1413 E St, Independence, OR 97008 | 2013-03-13 |
| 1508105735 | Mary Elizabeth Smith | Specialist/Technologist, Other | 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 | 2013-02-07 |
| 1629315551 | Adelfino J Zuriaga | Massage Therapist | 11985 Sw Camden Ln, Beaverton, OR 97008 | 2013-01-11 |
| 1760738330 | Lih-wern Wang | Pharmacist | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-07-31 |
| Find all providers in zip 97008 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831684109 | Cory Correia | Social Worker | 1908 Sw 144th Ave, Beaverton, OR 97005-2356 | 2018-06-28 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1467822395 | Parisa Mazhar | Social Worker | 9902 Sw Conestoga Dr, #173, Beaverton, OR 97008-8403 | 2015-10-05 |
| 1841675428 | Jessica C Moore | Social Worker | 4585 Sw185th Ave, Beaverton, OR 97007 | 2015-07-24 |
| 1063705952 | Mattie Sian Bailey | Social Worker | 10120 Sw Cynthia St, Beaverton, OR 97008-6078 | 2011-05-25 |
| 1598060279 | Theodore Adams | Social Worker | 1841 Sw Merlo Dr, Beaverton, OR 97003-5013 | 2011-01-11 |
| 1619098316 | Jin Ah Renee Kim | Social Worker | 12655 Sw Center St, Suite # 470, Beaverton, OR 97005-1600 | 2007-04-02 |
| 1992844096 | Terry Coleen Mccall Ellis | Social Worker | 14355 Sw Allen Blvd Ste 150, Beaverton, OR 97005-4741 | 2007-02-05 |
| 1326021932 | Lynne Phillips Werbel | Social Worker | 16110 Sw Regatta Ln, Beaverton, OR 97006-8942 | 2005-11-29 |
| 1144854696 | Haya Abdualwahab Alismail | Social Worker | 3800 Sw Cedar Hills Blvd Ste 288, Beaverton, OR 97005-2035 | 2020-02-24 |
| Find all providers in BEAVERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.