Alicia A Bennette, LCSW
Individual provider Active NPI Mental Health Counselor · Norton, MA
NPI 1912640251 · NPPES record last updated May 12, 2022
Key facts
- NPI
- 1912640251
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 225754 (MA)
- Practice address
- 108 W Main St
Norton, MA 02766-1248 - Phone
- (508) 285-9400
- NPI assigned
- Apr 14, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 225754 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Commonwealth of Massachusetts | Past |
Accepting new patients | |
| Department of Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 225754 | MA | Yes |
Addresses
Primary practice location
108 W Main St
Norton, MA 02766-1248
Mailing address
15 Goldenwood Dr
Norton, MA 02766-2636
Phone (508) 245-1863
Other providers in Norton, MA
- Christen Baker-Bagnell
- Lowell Richard Barnes
- Nycholle Barrell
- Holly Bastarache
- Sophia-Lynn Bechard
- Tina Beth Berlad
- Tabitha Betty
- Karen Muller Bono
- Bristol County Coach Inc
- James Brown
All providers in Norton, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2022. 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.