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

Tyler O Benelli, LCSW

Individual provider Clinical Social Worker · NPI 1144510280

Tyler O Benelli, LCSW is a Clinical Social Worker in Wellsboro, Pennsylvania. Qualified in 2010, 16 years ago. Practices with North Penn Comprehensive Health Services, a 43-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
16
In the registry since
2011
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

114 E Ave
Wellsboro, PA 16901-1737
Phone: (570) 723-0620
Fax: (570) 724-0675
Show map & directions

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

Additional practice locations (2)

  • 40 W Wellsboro St, Mansfield, PA 16933-1411 — (570) 662-1974
  • 416 S Main St, Mansfield, PA 16933-1510 — (570) 662-2002

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1144510280
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 11, 2011
Last updated in NPPESJune 1, 2020
Certification dateJune 1, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice North Penn Comprehensive Health Services — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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