Traci Bennett

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

61019 Issued in TX

Practice address

1307 8TH Ave Ste 310
Fort Worth, TX 76104-4140

Phone

(817) 851-2042

NPI assigned

May 7, 2018

Last updated

Sep 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alliance Kids Care

  • Clinical Social Worker
  • Fort Worth, TX
  • NPI 1902471451
  NPD (past)

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1427547363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 8TH AVE STE 310",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 8TH AVE STE 310",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044140",
            "telephone_number": "817-851-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "TRACI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "61019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Frances Bennett, LPC
• Nicole Rhea Bennett, PMHNP
• Penny R Bennett, PNP
• Sherree Bennett, AGPCNP-BC
• Sonya Anne Bennett, LCDC
• Molly Ann Benninghoff, LMSW
• Ashley Benson
• Charlett Benson, LVN
• CHI Nguyen Benson, MD
• Kelsey Benson, FNP

• Clinical Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.