Emma Bennett, M.S.W., LCSW #79627

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCSW79627 Issued in CA

Practice address

185 Pier Ave Ste 104
Santa Monica, CA 90405-5360

Phone

(707) 815-2898

NPI assigned

Jul 25, 2012

Last updated

Jul 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1396091617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 LINCOLN BLVD # 703",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904054619",
            "telephone_number": "707-815-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 PIER AVE STE 104",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055360",
            "telephone_number": "707-815-2898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Motor Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900343710",
            "country_code": "US",
            "telephone_number": "310-836-1223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "EMMA",
        "credential": "M.S.W., LCSW #79627",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW34564",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW79627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Behroozan M D Inc (Great Care Medical Group)
• Ehteram Benji Behroozan, D.D.S.
• Danny Benmoshe, M.D.
• Rachel S Bennahum
• Bennett Surgery Centers a Medical Corp
• Jazmin Bennett, MSN, RN, FNP-BC
• Richard Gary Bennett, MD
• Robert Bennett, PA-C
• Ryan Everett Bennett, M.D.
• Susanne M Bennett, DC

• Mental Health Counselor in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.