Mrs Kimberly Brooke Bennett, LCSW is a
Social Worker - Clinical based in Douglas, Georgia. Mrs Kimberly Brooke Bennett is licensed to practice in Georgia (license number CSW005427) and her current practice location is
1005 Shirley Ave, Douglas, Georgia. She can be reached at her office (for appointments etc.) via phone at
(912) 389-4188.
NPI number for Mrs Kimberly Brooke Bennett is 1275887440 and her current mailing address is 1005 Shirley Ave, Douglas, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275887440.
Healthcare Provider's Profile
| Full Name | Mrs Kimberly Brooke Bennett |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 1005 Shirley Ave, Douglas, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275887440
- Provider Enumeration Date: 11/09/2012
- Last Update Date: 06/03/2015
Medical Identifiers
Medical identifiers for Mrs Kimberly Brooke Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275887440 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 865 (Georgia) | Secondary |
| 104100000X | Social Worker | MSW005671 (Georgia) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW005427 (Georgia) | 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. Mrs Kimberly Brooke Bennett 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 |
|---|
Mrs Kimberly Brooke Bennett, LCSW
1005 Shirley Ave,
Douglas, GA 31533-2123
Ph: (912) 389-4188 | Mrs Kimberly Brooke Bennett, LCSW
1005 Shirley Ave,
Douglas, GA 31533
Ph: (912) 389-4188 |
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