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

Individual provider Clinical Social Worker · NPI 1912529066

Stacy Ilene Benham, LCSW is a Clinical Social Worker in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2020
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

2601 S Grand Canyon Dr Apt 2003
Las Vegas, NV 89117-3671
Phone: (626) 684-6349
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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 8186-C (NV)

Record details

NPI number1912529066
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 12, 2020
Last updated in NPPESMay 12, 2020
Certification dateMay 12, 2020

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