Active NPI
Debra Lanoue Bennett, LCSW-R
- School Social Worker
- Delmar, NY
National Provider Identifier
1104190917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- R052072-1
- Practice address
- 1 McGuffey LN
Delmar, NY 12054-4133 - Phone
- (518) 439-4905
- NPI assigned
- Feb 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | R052072-1 | NY | Primary |
Addresses
Primary practice location
1 McGuffey LN
Delmar, NY 12054-4133
Mailing address
105 Diane LN
Troy, NY 12182-9713
Phone (518) 326-2753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R052072-1 | NY | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1104190917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 DIANE LN",
"city": "TROY",
"state": "NY",
"postal_code": "121829713",
"telephone_number": "518-326-2753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MCGUFFEY LN",
"city": "DELMAR",
"state": "NY",
"postal_code": "120544133",
"telephone_number": "518-439-4905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "DEBRA",
"middle_name": "LANOUE",
"name_prefix": "Ms.",
"credential": "LCSW-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-27",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "R052072-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delmar, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.