Patricia S Bennett
Individual provider Active NPI School Social Worker · Kearney, NE
NPI 1417570524 · NPPES record last updated May 22, 2020
Key facts
- NPI
- 1417570524
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Social Worker 1041S0200X
- License
- 12014 (NE)
- Practice address
- 4611 N Ave
Kearney, NE 68847-8160 - Phone
- (308) 698-8150
- NPI assigned
- May 22, 2020
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12014 | NE | MD | School Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 12014 | NE | Yes |
Addresses
Primary practice location
4611 N Ave
Kearney, NE 68847-8160
Mailing address
4611 N Ave
Kearney, NE 68847-8160
Phone (308) 698-8150
Other providers in Kearney, NE
- David A Benavides
- Joseph John Benes
- Aaron Todd Benner
- Judith Ann Bennett
- Lisa M. Bennett
- Steven John Bennett
- Karla Bennetts
- Amber Benson
- Kelcy Bentley
- Jamie Bentz
All providers in Kearney, NE · School Social Worker in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2020. 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.