JACQUELINE BENNETT (NPI# 1962949214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962949214 |
| Entity Type | Individual |
| Full Name | JACQUELINE BENNETT |
| Practice Address |
2003 E Nc Highway 54 Ste C Durham NC 27713-2483 |
| Mailing Address |
207 Chateau Rd Durham NC 27704-1433 |
| Practice Telephone | 9196825300 |
| Mailing Telephone | 9193581219 |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P009770 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720492085 | Jacqueline Bennett | Registered Nurse | 2944 Tiemann Ave, Bronx, NY 10469-3322 | 2014-06-16 |
| 1316900889 | Jacqueline B Bennett | Psychologist | 1945 Robertson St., Fort Collins, CO 80524 | 2006-04-07 |
| 1932697141 | Jacqueline Nichole Bennett | Counselor | 780 Gregg St, Washington Court House, OH 43160-1564 | 2018-04-24 |
| 1912425190 | Jacqueline Bennett | Social Worker | 8400 W 110th St Ste 410, Overland Park, KS 66210-2307 | 2017-09-07 |
| 1558728279 | Jacqueline Bennett | Social Worker | 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 | 2016-01-26 |
| 1780992206 | Jacqueline Hilda Bennett | Occupational Therapist | 4600 Bowling Blvd, Louisville, KY 40207 | 2010-09-17 |
| 1215175955 | Jacqueline May Bennett | Case Manager/Care Coordinator | 2413 2nd St, Eureka, CA 95501-0811 | 2009-02-03 |
| 1518122530 | Jacqueline Bennett | Counselor | 821 Howard Rd Se, Washington, DC 20020-5805 | 2008-07-21 |
| 1194877530 | Jacqueline R Bennett | Dentist | 8975 E Golf Links Rd, Tucson, AZ 85730-1318 | 2007-01-17 |
| Street Address |
2003 E NC HIGHWAY 54 STE C |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-2483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871881672 | Kathryn Hawks De Roeck Bigsby | Social Worker | 2003 E Nc Highway 54 Ste C, Durham, NC 27713-2483 | 2011-07-13 |
| 1891232765 | Adia Smith | Social Worker | 2003 E Nc Highway 54 Ste C, Durham, NC 27713-2483 | 2017-01-30 |
| 1861884363 | Quincy Johnson | Counselor | 2003 E Nc Highway 54 Ste C, Durham, NC 27713-2483 | 2015-02-21 |
| 1801226782 | Hailey Michiko Shafir | Counselor | 2003 E Nc Highway 54 Ste C, Suite 200, Durham, NC 27713-2483 | 2013-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| 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 |
|---|---|---|---|---|
| 1770184657 | Delia Hearon | Social Worker | 100 Village Circle Way Apt 216, Durham, NC 27713-6131 | 2020-11-05 |
| 1750980256 | Victoria Snow | Social Worker | 504 E Pettigrew St Apt 449, Durham, NC 27701-3888 | 2020-10-26 |
| 1053910984 | Tedra Cook | Social Worker | 313 Chestnut Oak Pl, Durham, NC 27704-5196 | 2020-10-21 |
| 1821695644 | Adam Tannenbaum | Social Worker | 1821 Hillandale Rd Ste 1b-154, Durham, NC 27705-2659 | 2020-10-05 |
| 1831706373 | Elena Plocek | Social Worker | 2617 Farthing St, Durham, NC 27704-4203 | 2020-09-29 |
| 1225643323 | Aisha S Lewis | Social Worker | 79 Willow Bridge Dr, Durham, NC 27707-5457 | 2020-09-15 |
| 1639781354 | Inner Knowing Clinical Therapy LLC | Social Worker | 117 Brown Rd, Durham, ME 04222-5213 | 2020-08-24 |
| 1730791765 | Katrina P Martin | Social Worker | 2511 N Roxboro St, Durham, NC 27704-4347 | 2020-08-20 |
| 1194337758 | Ashley Esry | Social Worker | 1728 Euclid Rd, Durham, NC 27713-2415 | 2020-08-17 |
| 1265050124 | Amber Cox | Social Worker | 3622 Lyckan Pkwy Ste 5007, Durham, NC 27707-2539 | 2020-07-08 |
| Find all providers in DURHAM | ||||
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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.