Roberta G. Bennett, Ma MSW LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW7105 Issued in FL

Legal business name

ROBERTA G. BENNETT, MA MSW LCSW LLC

Practice address

1810 Wellness LN
New Port Richey, FL 34655-5357

Phone

(727) 375-8870

Fax

(727) 376-4141

NPI assigned

Dec 22, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura Laura

Title

Office Manager

Phone

(727) 375-8870

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1962731984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 WELLNESS LN",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346555357",
            "telephone_number": "727-375-8870",
            "fax_number": "727-376-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 WELLNESS LN",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346555357",
            "telephone_number": "727-375-8870",
            "fax_number": "727-376-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTA G. BENNETT, MA MSW LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "LAURA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "727-375-8870"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.