MR. PHILLIP WHAYNE BENNETT (NPI# 1629223730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629223730 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP WHAYNE BENNETT |
| Credential | LCSW |
| Practice Address |
146 Pike Street Port Jervis NY 12771 |
| Practice Telephone | 8458581456 |
| Practice Fax Number | 8458581459 |
| Mailing Telephone | 8458581456 |
| Mailing Fax Number | 8458581459 |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2009-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
075663-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03004253 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194143560 | Phillip Bennett | Contractor | Psc 482 Box 2620, Fpo, AP 96362-2699 | 2014-04-02 |
| 1356695837 | Phillip Bennett | Pharmacist | 1408 West Broad St Su 2, The Medicine Shoppe, Quakertown, PA 18951 | 2012-11-05 |
| 1235766627 | Phillip Marshall Bennett | Student in an Organized Health Care Education/Training Program | 500 S Chipeta Way, Salt Lake City, UT 84108-1221 | 2020-03-25 |
| 1205050978 | Phillip Charles Bennett | Psychologist | 2401 Pennsylvania Ave, Suite 1c-51, Philadelphia, PA 19130-3010 | 2007-04-12 |
| Street Address |
146 PIKE STREET |
| City | PORT JERVIS |
| State | NY |
| Zip Code | 12771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740227214 | County of Orange | Clinic/Center | 146 Pike Street, Port Jervis, NY 12771 | 2006-06-01 |
| 1346574571 | Lillian Rothenhaus | Counselor | 146 Pike Street, Port Jervis, NY 12771 | 2009-09-21 |
| 1144474461 | Christine Franke | Social Worker | 146 Pike Street, Port Jervis, NY 12771 | 2008-11-13 |
| 1417149659 | Martha Mcphail Thomson | Nurse Practitioner | 146 Pike Street, Port Jervis, NY 12771 | 2007-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045571 | Mary Ann Ricci | Counselor | 155 West Main, Port Jervis, NY 12771 | 2020-05-20 |
| 1982236022 | Jylian Ann Jackson | Social Worker | 146 Pike Street Outpatient Clinic, Port Jervis, NY 12771 | 2020-02-06 |
| 1336605591 | Dominic James Costantino | Physical Therapist | 17 Franklin Street, Port Jervis, NY 12771 | 2019-02-13 |
| 1871011775 | Pamela Ann Gluck | Counselor | 17 Sussex Street, Port Jervis, NY 12771 | 2017-08-31 |
| 1891211868 | Jamie Muller | Home Health Aide | 12 Mt William St, Port Jervis, NY 12771 | 2017-08-21 |
| 1922456649 | Greenville Township Volunteer Ambulance Corps Inc | Ambulance | 1495 Greenville Turnpike, Port Jervis, NY 12771 | 2016-06-03 |
| 1659702363 | Agnes Timberger | Social Worker | 626 Eatontown Road, Port Jervis, NY 12771 | 2013-12-05 |
| 1962795708 | Olga I Murray | Registered Nurse | 125 E. Main St., Port Jervis, NY 12771 | 2011-05-26 |
| 1407089444 | Daniel David Gersten | Counselor | 17-19 Sussex Street, Port Jervis, NY 12771 | 2009-08-25 |
| 1447404736 | Ann Marie Brown | Counselor | 136 Jersey Avenue, Suite 1, Port Jervis, NY 12771 | 2008-11-13 |
| Find all providers in zip 12771 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649739202 | Amanda E Westfall | Social Worker | 136 Jersey Ave, Port Jervis, NY 12771-2611 | 2019-03-13 |
| 1417294760 | Laura Jean Owens | Social Worker | 17 Sussex St, Port Jervis, NY 12771-2430 | 2013-01-07 |
| 1760520068 | Charles J. Coppolo | Social Worker | 137 Hammond St, Port Jervis, NY 12771-2608 | 2007-02-01 |
| 1083623177 | Timothy Richard Gregory | Social Worker | 56 Front St, Port Jervis, NY 12771-2415 | 2006-08-07 |
| 1033161963 | Lawrence Edward Smith | Social Worker | 15 Shin Hollow Rd, Port Jervis, NY 12771-3821 | 2006-05-17 |
| 1689215352 | Janan Virginia Furlong | Social Worker | 146 Pike St, Port Jervis, NY 12771-1808 | 2019-10-03 |
| 1861048589 | Vivian Bruno | Social Worker | 84 Front St, Port Jervis, NY 12771-2415 | 2019-08-19 |
| 1427365055 | Sharon Cherian | Social Worker | 146 Pike St, Port Jervis, NY 12771-1808 | 2010-09-02 |
| 1922252378 | Kristen J Moses-westphal | Social Worker | 146 Pike St, Port Jervis, NY 12771-1808 | 2008-11-12 |
| 1225178841 | Victoria Caruso | Social Worker | 146 Pike St, Port Jervis, NY 12771-1808 | 2007-02-07 |
| Find all providers in PORT JERVIS | ||||
| City | PORT JERVIS |
| Zip Code | 12771 |
Please comment or provide details below to improve the information on MR. PHILLIP WHAYNE BENNETT.
| 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.