Individual provider Active NPI

Joseph Eugene Bennett, LCSW

  • Clinical Social Worker
  • Kingston, NY
National Provider Identifier
1194894360
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076619-1 Issued in NY
Practice address
239 Golden Hill LN
Kingston, NY 12401-6441
Phone
(845) 340-4119
NPI assigned
Nov 6, 2006
Last updated
Jan 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 076619-1 NY Primary

Addresses

Primary practice location

239 Golden Hill LN
Kingston, NY 12401-6441

Mailing address

444 Peak Rd
Stone Ridge, NY 12484-5458
Phone (845) 687-7320

Other identifiers 1

IdentifierTypeStateIssuer
076619-1OtherNYLICENSED CLINICAL SOCIAL WORKER - LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090415000112 NY Practitioner - Clinical Social Worker 2466509104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Services, Inc.Group PAC ID 1658284542, 39 clinicians

Practice addresses (Care Compare)

239 Golden Hill LN
Kingston, NY 12401-6452
Phone (845) 486-2703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
076619-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Services, Inc. Clinical CurrentSince Mar 23, 2019 Accepting new patients

Locations

223 Main St
Beacon, NY 12508
Phone (845) 838-4900

230 North Rd
Poughkeepsie, NY 12601
Phone (845) 452-0774

29 N Hamilton St
Poughkeepsie, NY 12601
Phone (845) 452-1110

239 Golden Hill Ln
Saint Remy, NY 12401
Phone 84534040004189

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1194894360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 PEAK RD",
            "city": "STONE RIDGE",
            "state": "NY",
            "postal_code": "124845458",
            "telephone_number": "845-687-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 GOLDEN HILL LN",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016441",
            "telephone_number": "845-340-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JOSEPH",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076619-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER - LICENSE NUMBER",
            "identifier": "076619-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.