Trina Lynn Bennett, LGSW
Individual provider Active NPI Clinical Social Worker · Dundalk, MD
NPI 1619985793 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619985793
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- G12062 (MD)
- Practice address
- 7702 Dunmanway
Dundalk, MD 21222-5436 - Phone
- (410) 282-1792
- Fax
- (410) 282-3195
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G12062 | MD | MD | Clinical Social Worker |
| SW124861 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Key Point Health Services, Inc | Past | Accepting new patients | |
| Key Point Health Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | G12062 | MD | Yes |
| Clinical Social Worker | 1041C0700X | SW124861 | PA |
Addresses
Primary practice location
7702 Dunmanway
Dundalk, MD 21222-5436
Mailing address
8430 Cotoneaster Dr
2E
Ellicott City, MD 21043-7254
Phone (301) 938-1800
Other providers in Dundalk, MD
- Baltimore County Maryland
- Baltimore County Maryland
- Elizabeth Anne Barlow
- BD Health Services, Inc
- BD Health Services, Inc.
- Beyond Mental Health LLC
- Christina Blackwell
- Marcia A Blotzer
- Rebekah Bon
- Marie Bourke
All providers in Dundalk, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.