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NPI 1093824294 · live from the CMS NPI Registry

Audrey L Bennett, LCSW, LADC

Social Worker, Clinical in Bethesda, MD. National Provider Identifier 1093824294, active.

NPI record

NPI1093824294 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location8901 Wisconsin Ave, Bethesda, MD 20889
Practice phone860-819-8570
EnumeratedAugust 30, 2006
Last updatedJanuary 27, 2025
Sole proprietorYes
Other namesAudrey Scoville

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Addiction (Substance Use Disorder)101YA0400X000729 (CT)
Social Worker104100000X006194 (CT)
Social Worker, Clinical primary1041C0700X006194 (CT)

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