Dawn P Kentish Bennett, msw, LICSW
Social Worker, Clinical in Stockbridge, GA. Individual provider (NPI-1).
NPI number1114258993
StatusActive
Last updated in NPPESOct 7, 2016
Details
- NPI
- 1114258993
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Dawn P Kentish Bennett
- Credential
- msw, LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 19, 2010
- Last updated
- Oct 7, 2016
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 | ISW02415 | RI | Yes |
| 1041C0700X | Social Worker, Clinical | CSW01380 | RI | |
| 104100000X | Social Worker | CSW01380 | RI | |
| 1041C0700X | Social Worker, Clinical | CSW005849 | GA |
Other names
- Dawn P Kentish Bennett (Professional Name)
Practice location
297 Ironwood DrStockbridge, GA 30281-2287
Phone 401-743-0408
Mailing address
297 Ironwood DrStockbridge, GA 30281-2287
Phone 401-743-0408
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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