Christine Hunter Bennetts, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20760 Issued in CA

Practice address

1404 Escolar CT
Davis, CA 95618-6706

Phone

(530) 219-2438

NPI assigned

May 10, 2022

Last updated

May 10, 2022By 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

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.

Opted out of Medicare

Yes, effective Feb 23, 2024 through Feb 23, 2028

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1750027975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 MACE BLVD STE J-178",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956186053",
            "telephone_number": "530-219-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 ESCOLAR CT",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956186706",
            "telephone_number": "530-219-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETTS",
        "first_name": "CHRISTINE",
        "middle_name": "HUNTER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "20760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bella Wound Care Medical Corporation, P.C. (Bella Wound Care)
• Mary Bellocci
• Lori Ann Benedict, RN
• Prabhjot Benipal, PHARMD
• Henry Bennett, DDS
• Ronny Jean Berg, R.N.
• Jack E. Berger, MD
• Katherine Berghoef, MSW
• Sidney Bergman
• Noah Berkoff, LCSW

• Clinical Social Worker in Davis, CA
• Providers in Davis, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.