Provider Demographics
NPI:1215417464
Name:BENOIT, CLORAINE (LCSW-C)
Entity type:Individual
Prefix:MRS
First Name:CLORAINE
Middle Name:
Last Name:BENOIT
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8219 CHESTNUT AVE
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-4523
Mailing Address - Country:US
Mailing Address - Phone:718-288-7626
Mailing Address - Fax:
Practice Address - Street 1:8219 CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-4523
Practice Address - Country:US
Practice Address - Phone:718-288-7626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical