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

Individual provider Clinical Social Worker · NPI 1932559556

Mrs. Codi Jo Benologa, LSCSW is a Clinical Social Worker in Manhattan, Kansas. Qualified in 2016, 10 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Kansas.

Years since qualifying
10
Licensed in
KS
In the registry since
2016
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Practice location Address checks out

1115 Westport Dr Ste D2
Manhattan, KS 66502-2880
Phone: (785) 560-3101
Fax: (785) 527-8317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1004 Lincoln Ave, Wamego, KS 66547-1514 — (785) 560-3101

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 5074 (KS)

Record details

NPI number1932559556
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSCSW
Sole proprietorYes
NPI enumeratedJune 14, 2016
Last updated in NPPESMay 14, 2020
Certification dateMay 14, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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