Tina Bennett, LICSW
Social Worker, Clinical in Clarksburg, WV. Individual provider (NPI-1).
NPI number1821611005
StatusActive
Last updated in NPPESMay 22, 2020
Details
- NPI
- 1821611005
- Entity type
- Individual (NPI-1)
- Name
- Tina Bennett
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2020
- Certification date
- May 22, 2020
- Last updated
- May 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | DP00941494 | WV | Yes |
Practice location
1 Medical Center DrClarksburg, WV 26301
Phone 304-623-3461
Mailing address
205 High StJane Lew, WV 26378-7945
Phone 304-629-6156
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Other Clinical Social Worker providers in Clarksburg, WV
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All 30 Clinical Social Worker providers in Clarksburg · All 1,434 providers in Clarksburg
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