Codi Ann Bennett
Individual provider Active NPI Social Worker · Kingsland, GA
NPI 1215753231 · NPPES record last updated Nov 25, 2024
Key facts
- NPI
- 1215753231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 130 Summerfield Dr
Kingsland, GA 31548-5302 - Phone
- (912) 850-9154
- NPI assigned
- Nov 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
130 Summerfield Dr
Kingsland, GA 31548-5302
Mailing address
130 Summerfield Dr
Kingsland, GA 31548-5302
Phone (912) 850-9154
Other providers in Kingsland, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 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.