Individual ProviderRichard BensonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4106 77th Avenue Ct NW, Gig Harbor, WA 98335-6542(253) 400-4789PECOS EnrollmentBased on the most recent information from CMS, provider Richard Benson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 4:18 PM.Profile DetailsProvider ID1023378163Provider TypeIndividualFull NameBenson, RichardCredentialLICSW, SUDP, MACGenderMaleSole ProprietorNoEnumeration Date5/23/2012Last Updated12/13/2023Contact InformationPractice LocationPractice Address4106 77th Avenue Ct NW, Gig Harbor, WA 98335-6542Phone(253) 400-4789FaxUnlisted FaxMailing LocationMailing Address5114 Point Fosdick Dr Ste F96, Gig Harbor, WA 98335-1733Phone(253) 400-4789FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLW60682632WashingtonCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseC007751North Carolina