SEAN BENNETT (NPI# 1497299879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497299879 |
| Entity Type | Individual |
| Full Name | SEAN BENNETT |
| Practice Address |
1111 Prairie Pkwy West Fargo ND 58078-3132 |
| Practice Telephone | 7015320754 |
| Mailing Telephone | 7015320754 |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1679858781 | Sean J Bennett | Physical Therapist | 515 Minor Ave Ste 22, Seattle, WA 98104-2112 | 2011-10-20 |
| 1386148385 | Sean Bennett | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2018-03-23 |
| 1053843706 | Sean Bennett | Technician, Other | 32100 Telegraph Rd, Suite 185, Bingham Farms, MI 48025-2452 | 2017-03-31 |
| 1740644913 | Sean S Bennett | Psychiatry & Neurology | 42 Wright St, Palmer, MA 01069-1156 | 2016-04-13 |
| 1093173684 | Sean Bennett | Pharmacist | 1 Akron General Ave, Akron, OH 44307 | 2016-02-10 |
| 1730494568 | Sean Kevin Bennett | Social Worker | 113 Lielmanis Ave, 1somdos/sgow, Hurlburt Field, FL 32544-5613 | 2010-08-17 |
| 1144455023 | Sean H Bennett | Military Health Care Provider | 739 North Fork Highway, Grant County Health Department, Petersburg, WV 26847-0608 | 2009-05-21 |
| Street Address |
1111 PRAIRIE PKWY |
| City | WEST FARGO |
| State | ND |
| Zip Code | 58078-3132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306395538 | Serenity Christian Homes | Residential Treatment Facility, Emotionally Disturbed Children | 1111 Prairie Pkwy, West Fargo, ND 58078-3132 | 2016-09-29 |
| 1396213690 | Peace Albert | Social Worker | 1111 Prairie Pkwy, West Fargo, ND 58078-3132 | 2018-11-05 |
| 1629555040 | Audrey Bennett | Case Manager/Care Coordinator | 1111 Prairie Pkwy, West Fargo, ND 58078-3132 | 2018-07-27 |
| 1346732773 | Serenity Christian Homes Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1111 Prairie Pkwy, West Fargo, ND 58078-3132 | 2018-06-01 |
| 1659863116 | Allexandria Arcoria | Social Worker | 1111 Prairie Pkwy, West Fargo, ND 58078-3132 | 2018-05-31 |
| 1710497706 | Brandon Fitzgerald | Social Worker | 1111 Prairie Pkwy, West Fargo, ND 58078-3132 | 2017-10-04 |
| 1831637651 | Kevin Bailly | Social Worker | 1111 Prairie Pkwy, West Fargo, ND 58078-3132 | 2017-02-01 |
| 1518416502 | Danielle Larson | Social Worker | 1111 Prairie Pkwy, West Fargo, ND 58078-3132 | 2016-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205068 | Ashley Kasson Therapy | Counselor | 3220 4th St E, West Fargo, ND 58078 | 2020-11-04 |
| 1427658624 | Deedee (dorin) Ngwe | Technician | 3240 9th S West Apt. 204, West Fargo, ND 58078 | 2020-10-27 |
| 1053879734 | Mpnd,inc | Pharmacy | 2050 Sheyenne Street, West Fargo, ND 58078 | 2019-03-12 |
| 1396239216 | Luke Gable | Behavior Technician | 647 13th Avenue South, West Fargo, ND 58078 | 2018-06-15 |
| 1629597919 | Cody Freng | Specialist/Technologist | 3276 9th St W Apt C, West Fargo, ND 58078 | 2017-09-18 |
| 1831613942 | Lauren Phyllis Loe | Physical Therapist | 1401 13th Avenue East, Essentia Health West Fargo Clinic, West Fargo, ND 58078 | 2017-07-31 |
| 1851746226 | Jodi Kilen | Occupational Therapy Assistant | 631 4th Ave East, West Fargo, ND 58078 | 2016-05-04 |
| 1922490101 | Betty Ann Helmer | Social Worker | 2355 Meadow Ridge Parkway, West Fargo, ND 58078 | 2015-02-25 |
| 1477972784 | Tessa Nicole Larson | Occupational Therapist | 3139 Bluestem Dr Ste 108, West Fargo, ND 58078 | 2014-04-15 |
| 1023432010 | Kaylyn Kortes | Licensed Practical Nurse | 1302 Sheyenne St, West Fargo, ND 58078 | 2014-02-11 |
| Find all providers in zip 58078 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083008668 | The Perry Center | Case Manager/Care Coordinator | 2355 Meadow Ridge Pkwy, West Fargo, ND 58078-2383 | 2015-03-23 |
| 1629555040 | Audrey Bennett | Case Manager/Care Coordinator | 1111 Prairie Pkwy, West Fargo, ND 58078-3132 | 2018-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300794 | Heather Leier | Case Manager/Care Coordinator | 101 16th St Sw, Minot, ND 58701-3463 | 2020-09-09 |
| 1659913879 | Christine Lawson | Case Manager/Care Coordinator | 531 W Villard St, Dickinson, ND 58601-5044 | 2019-10-09 |
| 1912549130 | Emily Gran | Case Manager/Care Coordinator | 531 W Villard St Ste 1, Dickinson, ND 58601-5044 | 2019-10-09 |
| 1821639899 | Brooke Peacock | Case Manager/Care Coordinator | 1008 4th Ave, Apt 116, Watford City, ND 58854-5885 | 2019-10-01 |
| 1104467174 | Fallon Kirby Maston | Case Manager/Care Coordinator | 1008 4th Ave Se Apt 116, Watford City, ND 58854-7732 | 2019-10-01 |
| 1942854260 | Johnita Whyte | Case Manager/Care Coordinator | 225 3rd St Se Fl 3, Minot, ND 58701-3958 | 2019-07-25 |
| 1225597750 | Missi Baranko | Case Manager/Care Coordinator | 4758 92nd Ave Sw, Richardton, ND 58652-9710 | 2019-03-14 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1972092757 | William David Nix | Case Manager/Care Coordinator | 102 Main Ave W, Rolla, ND 58367 | 2018-05-07 |
| 1245748649 | Alissa Lynn Parsons | Case Manager/Care Coordinator | Chase Building, 2nd Floor, 516 Cooper Avenue, Grafton, ND 58237 | 2018-01-19 |
| Find all providers with the same taxonomy | ||||
| City | WEST FARGO |
| Zip Code | 58078 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.