Renae Elizabeth Bennett, MSW
Individual provider Active NPI Social Worker · Gladstone, OR
NPI 1831410018 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1831410018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 215 W Arlington St
Gladstone, OR 97027-2304 - Phone
- (909) 557-6195
- NPI assigned
- Jun 22, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Social Service Professionals | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
215 W Arlington St
Gladstone, OR 97027-2304
Mailing address
215 W Arlington St
Gladstone, OR 97027-2304
Phone (909) 557-6195
Other providers in Gladstone, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. 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.