Individual provider Active NPI

Sarah Rabb Bennett, LCSW

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1255667754
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14104 Issued in TX
Practice address
12880 Hillcrest Rd
Suite 224
Dallas, TX 75230-1532
Phone
(972) 991-4534
Fax
(972) 490-3567
NPI assigned
Oct 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X TX
Clinical Social Worker 1041C0700X 14104 TX Primary

Addresses

Primary practice location

12880 Hillcrest Rd
Suite 224
Dallas, TX 75230-1532

Mailing address

12880 Hillcrest Rd
Suite #224
Dallas, TX 75230-1532
Phone (972) 991-4534

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

LicenseStateTypeSpecialty
14104TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1255667754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12880 HILLCREST RD",
            "address_2": "SUITE #224",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301532",
            "telephone_number": "972-991-4534",
            "fax_number": "972-490-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12880 HILLCREST RD",
            "address_2": "SUITE 224",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301532",
            "telephone_number": "972-991-4534",
            "fax_number": "972-490-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "SARAH",
        "middle_name": "RABB",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "14104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.