Kenneth Alvin Bennett Jr., LCSW, CART
Individual provider Active NPI Clinical Social Worker · Euless, TX
NPI 1023150901 · NPPES record last updated Oct 29, 2024
Key facts
- NPI
- 1023150901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 50547 (TX)
- Practice address
- 610 S Industrial Blvd
Suite 307
Euless, TX 76040-5048 - Phone
- (817) 917-2335
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- No
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50547 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midcities Center for Change, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 50547 | TX | Yes |
Addresses
Primary practice location
610 S Industrial Blvd
Suite 307
Euless, TX 76040-5048
Mailing address
610 S Industrial Blvd
307
Euless, TX 76040-5048
Phone (817) 917-2335
Other providers in Euless, TX
- Carl Beauboeuf
- Ariel Beckey
- Beden Enteprises LLC
- Behrman Chiropractic of Euless PA
- Bella Sky Dentistry at Glade Parks PA
- Stephanie Benz
- Rushina Harishkumar Bhatt
- Monica A. Bildner
- Biolum Counseling, PLLC
- Bird Concierge Chiropractic, PLLC
All providers in Euless, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2024. 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.