Lisa M Bennett

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

400 Forest Ave
Buffalo, NY 14213-1207

Phone

(716) 816-2445

Fax

(716) 816-2537

NPI assigned

Oct 10, 2022

Last updated

Jul 18, 2024By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: cdietz@tranquilwaterswny.com

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1487379608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 WASHINGTON AVE UPPR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142171805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FOREST AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131207",
            "telephone_number": "716-816-2445",
            "fax_number": "716-816-2537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2711 Transit Rd Ste 124",
            "address_purpose": "LOCATION",
            "city": "Elma",
            "state": "NY",
            "postal_code": "140599041",
            "country_code": "US",
            "telephone_number": "716-449-0494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "LISA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CDietz@tranquilwaterswny.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email address",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address",
            "address_1": "2711 Transit Rd Ste 124",
            "city": "Elma",
            "state": "NY",
            "country_code": "US",
            "postal_code": "140599041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Bennett
• Gretchen A Bennett, MA CCC SLP
• Kaytie Bennett, OTR/L
• Kelsey Bennett
• Kimberly Anne Bennett, O.T.R.
• Lydia Bennett, PA-C
• Mary Bennett, MD
• Robert Allan Bennett, PHARMD
• Shirl Bennett, LPN
• April Denise Benson, LPN

• Clinical Social Worker in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.