Darral N Bennett Jr., LICSW
Social Worker, Clinical in Clarksburg, WV. Individual provider (NPI-1).
NPI number1013677590
StatusActive
Last updated in NPPESDec 23, 2021
Details
- NPI
- 1013677590
- Entity type
- Individual (NPI-1)
- Name
- Mr. Darral N Bennett Jr.
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 23, 2021
- Certification date
- May 27, 2021
- Last updated
- Dec 23, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | DP00945125 | WV | Yes |
Practice location
1 Medical Center DrClarksburg, WV 26301
Phone 304-623-3461
Mailing address
338 Ridgeway DrBridgeport, WV 26330-1276
Phone 304-841-8625
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 30 Clinical Social Worker providers in Clarksburg · All 1,434 providers in Clarksburg
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