ROBERTA DAWN BENNETT LCSW NPI 1063550648

NPI Information

NPI: 1063550648
Provider Name: ROBERTA DAWN BENNETT, LCSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
865 HARDWOOD DR
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 548-3785
Get Directions

Roberta Dawn Bennett, LCSW is a mental health counselor in Chesapeake, VA. Roberta Dawn Bennett, LCSW NPI is 1063550648. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

865 HARDWOOD DR
CHESAPEAKE, VA
ZIP 23320-215
Phone: (757) 548-3785
Fax: (757) 548-3785

The NPI 1063550648 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 2/3/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	0904000617	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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