Laura Magdalena Benavidez, LCSW is a
Social Worker based in San Rafael, California. Laura Magdalena Benavidez is licensed to practice in California (license number 129487) and her current practice location is
3230 Kerner Blvd, San Rafael, California. She can be reached at her office (for appointments etc.) via phone at
(415) 720-3845.
NPI number for Laura Magdalena Benavidez is 1316425861 and her current mailing address is 3230 Kerner Blvd, San Rafael, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316425861.
Healthcare Provider's Profile
| Full Name | Laura Magdalena Benavidez |
|---|
| Gender | Female |
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| Speciality | Social Worker |
|---|
| Location | 3230 Kerner Blvd, San Rafael, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316425861
- Provider Enumeration Date: 08/06/2018
- Last Update Date: 04/07/2025
Medical Identifiers
Medical identifiers for Laura Magdalena Benavidez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316425861 | NPI | - | NPPES |
| 1316425861 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | ASW90472 (California) | Secondary |
| 104100000X | Social Worker | ASW90472 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 129487 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Laura Magdalena Benavidez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Laura Magdalena Benavidez, LCSW
3230 Kerner Blvd,
San Rafael, CA 94901-4840
Ph: (415) 720-3845 | Laura Magdalena Benavidez, LCSW
3230 Kerner Blvd,
San Rafael, CA 94901-4840
Ph: (415) 720-3845 |
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