Kim Bennett-selby, LCSW-C is a
Social Worker - Clinical based in Edgewood, Maryland. Kim Bennett-selby is licensed to practice in Maryland (license number 09184) and her current practice location is
1331 Charlestown Dr, Edgewood, Maryland. She can be reached at her office (for appointments etc.) via phone at
(443) 928-9554.
NPI number for Kim Bennett-selby is 1194026211 and her current mailing address is 1331 Charlestown Dr, Edgewood, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194026211.
Healthcare Provider's Profile
Full Name | Kim Bennett-selby |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1331 Charlestown Dr, Edgewood, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194026211
- Provider Enumeration Date: 11/04/2010
- Last Update Date: 06/12/2012
Medical Identifiers
Medical identifiers for Kim Bennett-selby such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194026211 | NPI | - | NPPES |
052507300 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 09184 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kim Bennett-selby is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kim Bennett-selby, LCSW-C 1331 Charlestown Dr, Edgewood, MD 21040-2204 Ph: (443) 928-9554 | Kim Bennett-selby, LCSW-C 1331 Charlestown Dr, Edgewood, MD 21040-2204 Ph: (443) 928-9554 |
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