Kate Corinne Bennett, MSW, CAPSW

Individual provider Active NPI Clinical Social Worker · Delafield, WI

NPI 1346693280 · NPPES record last updated Nov 24, 2021

Key facts

NPI
1346693280
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
3195 Hillside Dr
Delafield, WI 53018-2189
Phone
(262) 646-9960
Fax
(262) 646-9961
NPI assigned
Jul 15, 2016
Sex
Female
Sole proprietor
No

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)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

3195 Hillside Dr
Delafield, WI 53018-2189

Mailing address

3195 Hillside Dr
Delafield, WI 53018-2189
Phone (262) 646-9960

Other identifiers

IdentifierTypeStateIssuer
1346693280MedicaidWI

Other names

  • Kate Corinne Goedtel Former name

Other providers in Delafield, WI

All providers in Delafield, WI · Clinical Social Worker in Wisconsin

Sources for this page

Verify at the official NPI Registry.