Samantha Bennett LCSW Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SAMANTHA BENNETT LCSW THERAPY LLC

Practice address

918 NE 5TH St
Bend, OR 97701-4617

Phone

(541) 771-8170

NPI assigned

Aug 29, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samantha L Bennett, LCSWNPI 1124253950

Title

Owner

Phone

(541) 771-8170

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha L Bennett, LCSW

  • Clinical Social Worker
  • Bend, OR
  • NPI 1124253950
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1184344533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 SW CENTURY DR STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023558",
            "telephone_number": "541-771-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 NE 5TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014617",
            "telephone_number": "541-771-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA BENNETT LCSW THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-771-8170",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian G Salton, MD
• Joshua Salvo
• Ryan Salyer, PT, DPT
• Philip Dean Samaha
• Candice Samano
• Samara Learning Center
• Jillian Elizabeth Sammon, LCSW
• Travis Sammon, MSW, LCSW
• Sampson Physical Therapy, Inc (Southside Physical Therapy, Inc)
• Jonathan P Sampson, PT

• Clinical Social Worker in Bend, OR
• Providers in Bend, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.