Jessica E Bennett, LMSW | |
920 Diana St, Ludington, MI 49431-1987 | |
(231) 845-6294 | |
(231) 845-7095 |
Full Name | Jessica E Bennett |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 920 Diana St, Ludington, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306184684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801092385 (Michigan) | Primary |
Entity Name | West Michigan Community Mental Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275646309 PECOS PAC ID: 8426046855 Enrollment ID: O20040504001506 |
Entity Name | County Of Muskegon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003914946 PECOS PAC ID: 2264325448 Enrollment ID: O20040812000322 |
Entity Name | Great Lakes Hope Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275132441 PECOS PAC ID: 6507274198 Enrollment ID: O20210420002460 |
Mailing Address | Practice Location Address |
---|---|
Jessica E Bennett, LMSW 920 Diana St, Ludington, MI 49431-1987 Ph: (231) 845-6294 | Jessica E Bennett, LMSW 920 Diana St, Ludington, MI 49431-1987 Ph: (231) 845-6294 |
Sara Durand, BSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 | |
Brooke Taylor, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 | |
James Michael Foley, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 | |
Alicia M Kaja, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5705 W Johnson Rd, Ludington, MI 49431 Phone: 231-425-4414 | |
Mr. Barry Alan Blacktop, MA, CSW, LLP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 | |
Lisa A Bradley, ACSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 409 W Ludington Ave, Suite 307, Ludington, MI 49431 Phone: 231-843-8877 Fax: 231-845-0264 | |
Marie Agnes Jensen, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 |