Wellformed AI

NPI 1902846520 · live from the CMS NPI Registry

John Valle Benson, L.C.S.W.

Social Worker, Clinical in Roseburg, OR. National Provider Identifier 1902846520, active.

NPI record

NPI1902846520 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location913 Nw Garden Valley Blvd, Roseburg, OR 97470
Practice phone541-440-1000
Mailing address1647 Nw Estelle #11, Roseburg, AK 97470
EnumeratedJune 8, 2006
Last updatedJuly 13, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700XL3132 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.