Cora Shade Bennett, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C003598 Issued in NC

Practice address

6517 Andora Dr
Charlotte, NC 28227-8072

Phone

(704) 568-0872

NPI assigned

Mar 21, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1237593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237593600000",
    "number": "1912148941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6517 ANDORA DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282278072",
            "telephone_number": "704-568-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6517 ANDORA DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282278072",
            "telephone_number": "704-568-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "CORA",
        "middle_name": "SHADE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-21",
        "last_updated": "2009-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002600",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Bennett Chew
• Elizabeth Marie Bennett-Hill, LPC
• Abigail Bennett
• Alissa A Bennett
• Christian Leigh Bennett, PA
• Gerald William Bennett Jr.
• Jeffrey Bennett, LAT, ATC
• Jeremy Michael Bennett, MD
• Joan M. Bennett, CRNA
• Kassandra Jean Bennett, PA

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.