Jessica Lynn Bennett, LCSW
Individual provider Active NPI Clinical Social Worker · Endicott, NY
NPI 1396416624 · NPPES record last updated Jun 14, 2026
Key facts
- NPI
- 1396416624
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 110106 (NY)
- Practice address
- 141 Washington Ave Ste a
Endicott, NY 13760-5309 - Phone
- (607) 309-8130
- NPI assigned
- Sep 27, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110106 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tioga County Health Department | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 110106 | NY | Yes |
Addresses
Primary practice location
141 Washington Ave Ste a
Endicott, NY 13760-5309
Mailing address
141 Washington Ave Ste a
Endicott, NY 13760-5309
Phone (607) 245-0795
Other providers in Endicott, NY
- Alyson Angela Barmada
- Valerie Barrett
- Jillian Beloch
- Alyssa Joy Benner
- Barbara Jean Bennett
- Barry Leonard Berkowitz
- Jennifer S. Berryman
- Gary W Bigsby
- Binghamton Optical Inc
- Carol Ann Blackwell
All providers in Endicott, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2026. 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.