Nicole Marie Bennett
Individual provider Active NPI Social Worker · Batavia, IL
NPI 1013823988 · NPPES record last updated Aug 20, 2026
Key facts
- NPI
- 1013823988
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 30 S Shumway Ave Ste 1W
Batavia, IL 60510-2499 - Phone
- (630) 326-9951
- NPI assigned
- Aug 20, 2026
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Light the Way Counseling PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
30 S Shumway Ave Ste 1W
Batavia, IL 60510-2499
Mailing address
30 S Shumway Ave Ste 1W
Batavia, IL 60510-2499
Phone (630) 326-9951
Other providers in Batavia, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.