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

Benjamin Sheppard Willis, LCSW-A

Individual provider Clinical Social Worker · NPI 1184354672

Benjamin Sheppard Willis, LCSW-A is a Clinical Social Worker in Durham, North Carolina. Licensed in North Carolina. Registered with an NPI since 2022.

Licensed in
NC
In the registry since
2022

Practice location Address checks out

3608 University Dr Ste 101
Durham, NC 27707-6260
Phone: (919) 433-0170
Fax: (919) 226-0026
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P015847 (NC)

Record details

NPI number1184354672
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-A
Sole proprietorNo
NPI enumeratedJune 16, 2022
Last updated in NPPESJune 16, 2022
Certification dateJune 16, 2022

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