Wellformed AI

NPI 1003483652 · live from the CMS NPI Registry

Melissa Ann Bennett

Social Worker in Princeton, WV. National Provider Identifier 1003483652, active.

NPI record

NPI1003483652 Type 1 · individual
StatusActive
Primary specialtySocial Worker 104100000X
Practice location3977 Beckley Road, Princeton, WV 24740
Practice phone304-431-5499
EnumeratedJune 10, 2021
Last updatedJune 10, 2021
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker primary104100000XAP00942429 (WV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.