Richard Bennink, LCSW
Individual provider Active NPI Clinical Social Worker · Uncasville, CT
NPI 1710168679 · NPPES record last updated Nov 20, 2007
Key facts
- NPI
- 1710168679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 001206 (CT)
- Practice address
- 5 Crow Hill Rd
Uncasville, CT 06382-1118 - Phone
- (860) 862-6235
- NPI assigned
- Nov 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 001206 | CT | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 001206 | CT | Yes |
Addresses
Primary practice location
5 Crow Hill Rd
Uncasville, CT 06382-1118
Mailing address
5 Crow Hill Rd
Uncasville, CT 06382-1118
Phone (860) 862-6235
Other providers in Uncasville, CT
- Bethany Grace Arabic
- Michel-Ange Aurelus-Joseph
- Cassie Babcock
- Bruce E Bailey
- Balanced Wellness Primary Care, LLC
- Amber Brooks
- Tammy Brown
- Stephen Gerard Burke
- Sydney Byrd
- Chole Calkins
All providers in Uncasville, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 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.