Theresa Croce Benedict, LCSW
NPI 1427246503 · Clinical Social Worker · Venice, FL
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa Croce Benedict, LCSW is a Clinical Social Worker provider in Venice, FL (NPI 1427246503).
Provider details
- NPI number
- 1427246503
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- SW7665 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
625 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychotherapy, 1 Hour90837 | 610 | $110 |
| Psychiatric Diagnostic Evaluation90791 | 15 | $126 |
Typical Medicare-allowed amounts for these services range $110–$126 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-10-14
- Last updated
- 2023-09-05
- Certified
- 2022-11-14
Frequently asked questions
- What is Theresa Croce Benedict's NPI number?
- Theresa Croce Benedict's National Provider Identifier (NPI) is 1427246503, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Croce Benedict's specialty?
- Theresa Croce Benedict is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Theresa Croce Benedict located?
- Theresa Croce Benedict's practice location on file with NPPES is 329 Nokomis Ave S Ste H, Venice, FL 34285-2418.
- What is Theresa Croce Benedict's phone number?
- The practice phone number listed in the NPPES registry for Theresa Croce Benedict is (941) 830-0165.
- Does Theresa Croce Benedict accept Medicare?
- Theresa Croce Benedict is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa Croce Benedict's NPI active?
- Yes — Theresa Croce Benedict's NPI (1427246503) is active in the NPPES registry as of the last update on 2023-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.