Jacqueline Bennett

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P009770 Issued in NC

Practice address

2003 E NC Highway 54 Ste C
Durham, NC 27713-2483

Phone

(919) 682-5300

NPI assigned

Jan 25, 2017

Last updated

Jan 25, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Silver Linings for Seniors, IncGroup PAC ID 6103137112, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Silver Linings for Seniors, Inc.

  • Clinical Social Worker
  • Cary, NC
  • NPI 1295124592
  Medicare reassignment Care Compare group NPD
• Kristin McArthur, MD, PLLC

  • Geriatric Psychiatry Physician
  • Cary, NC
  • NPI 1801398805
  NPD
• Upward Change Health Services

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1912449158
  NPD (past)
• Upward Change Health Services, LLC

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1306083688
  NPD (past)

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1962949214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CHATEAU RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041433",
            "telephone_number": "919-358-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 E NC HIGHWAY 54 STE C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132483",
            "telephone_number": "919-682-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Russell Benkert, MD
• Zineb Bennani
• Eric J. Benner, M.D.
• Aaron Bennett, MD
• Cheryl Lynn Bennett, PHD
• Karen Webb Bennett, PHD, RD, MSN, PMHNP
• Kierra Renee Bennett, LCSW-A
• Mikal Nasir Bennett, MD
• Stacey S Bennett, NP
• Terrell Bennett, MSW, LCSWA

• Clinical Social Worker in Durham, NC
• Providers in Durham, 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 Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.