NPI 1013677590 · live from the CMS NPI Registry
Darral N Bennett, LICSW
Social Worker, Clinical in Clarksburg, WV. National Provider Identifier 1013677590, active.
NPI record
| NPI | 1013677590 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1 Medical Center Dr, Clarksburg, WV 26301 |
| Practice phone | 304-623-3461 |
| Mailing address | 338 Ridgeway Dr, Bridgeport, WV 26330 |
| Enumerated | December 23, 2021 |
| Last updated | December 23, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | DP00945125 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.