Krista Marie Bennett, LMSW
Individual provider Active NPI Social Worker · Queensbury, NY
NPI 1801468335 · NPPES record last updated Jul 14, 2021
Key facts
- NPI
- 1801468335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 112927-01 (NY)
- Practice address
- 25 Willowbrook Rd
Queensbury, NY 12804-5882 - Phone
- (518) 926-7100
- NPI assigned
- Jul 14, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 112927-01 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 112927-01 | NY | Yes |
Addresses
Primary practice location
25 Willowbrook Rd
Queensbury, NY 12804-5882
Mailing address
25 Willowbrook Rd
Queensbury, NY 12804-5882
Phone (518) 926-7100
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | willowbrook@bhsn.org |
Other providers in Queensbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2021. 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.