Lindsey Komara Bennett, LCSW, MCAP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW12319 Issued in FL

Practice address

100 N Laura St Ste 800
Jacksonville, FL 32202-3668

Phone

(904) 762-4122

Fax

(904) 758-5315

NPI assigned

Feb 16, 2016

Last updated

Jun 14, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1689033805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 RAMONA BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322054947",
            "telephone_number": "386-316-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N LAURA ST STE 800",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023668",
            "telephone_number": "904-762-4122",
            "fax_number": "904-758-5315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7545 Centurion Pkwy",
            "address_2": "suite 106",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322560579",
            "country_code": "US",
            "telephone_number": "904-551-1394",
            "fax_number": "888-770-4284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2380 3rd St S Ste 2",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322508038",
            "country_code": "US",
            "telephone_number": "904-758-8215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 S Newnan St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322023437",
            "country_code": "US",
            "telephone_number": "904-762-4122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "LINDSEY",
        "middle_name": "KOMARA",
        "credential": "LCSW, MCAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Elizabeth Bennett, PHARMD
• Jo-an Bennett
• Kalyn Bennett
• Katie Beth Bennett, PA-C
• Lillyn Marie Bennett, LOTR, CLT, CFPS
• Lisa Marie Bennett, ARNP
• Lishon Bennett
• Pamela K Bennett, APRN
• Peggie Bennett
• Ramona Bennett

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.