Amber M Bennett, LMSW, LCSW

Individual provider Active NPI Clinical Social Worker · Hancock, MI

NPI 1740417237 · NPPES record last updated May 18, 2023

Key facts

NPI
1740417237
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6801096483 (MI)
Practice address
809 Hecla St
Hancock, MI 49930-1212
Phone
(906) 482-4250
NPI assigned
Jun 11, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
081230NYMDSocial Worker
6801096483MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Copper Country Intermediate School District Past
since May 21, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 081230 NY
Clinical Social Worker 1041C0700X 080706 NY
Clinical Social Worker 1041C0700X 6801096483 MI Yes

Addresses

Primary practice location

809 Hecla St
Hancock, MI 49930-1212

Mailing address

809 Hecla St
Hancock, MI 49930-1212
Phone (906) 482-4250

Other providers in Hancock, MI

All providers in Hancock, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.