Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Fetzner, LCSW

Individual provider Clinical Social Worker · NPI 1790678977

Benjamin Fetzner, LCSW is a Clinical Social Worker in Enfield, Connecticut. Qualified in 2022, 4 years ago. Licensed in Connecticut.

Years since qualifying
4
Licensed in
CT
In the registry since
2025
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

72 Shaker Rd Ste 7
Enfield, CT 06082-3110
Phone: (860) 698-3040
Fax: (860) 749-2613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 58.015160 (CT)

Record details

NPI number1790678977
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 29, 2025
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025
Mailing address72 Shaker Rd Ste 7, Enfield, CT 06082-3110

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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