MR. MARK BARRY BENNETT


Address: 2275 W Broadway St, Ste G, Idaho Falls, ID 83402-2902
Phone: 2085247400

MR. MARK BARRY BENNETT (NPI# 1306273784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306273784
Entity Type Individual
Full Name MR. MARK BARRY BENNETT
Credential LMSW
Practice Address 2275 W Broadway St
Ste G
Idaho Falls
ID 83402-2902
Practice Telephone 2085247400
Practice Fax Number 2085248004
Mailing Telephone 2085247400
Mailing Fax Number 2085248004
Enumeration Date 2013-10-01
Last Update Date 2013-10-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker LMSW-31056 ID Behavioral Health & Social Service Providers

Other Providers MARK BENNETT

NPI Name Taxonomy Address Enumeration
1871912287 Mark Bennett Counselor 829 27th St, San Diego, CA 92102-2710 2014-04-14
1811104771 Mark Andrew Bennett Chiropractor Valley Plaza Rt. 7, Suite 4, Reedsville, WV 26547 2007-05-17
1528168952 Mark David Bennett Pharmacist 206 North Charlotte Street, Pottstown, PA 19464 2006-09-25
1861467599 Mark Daniel Bennett Optometrist 1839 Briargate Blvd, Colorado Springs, CO 80920-3470 2006-02-17
1255327623 Mark Thomas Bennett Chiropractor 5031 E Orangethorpe Ave, Suite H, Anaheim, CA 92807-1131 2005-09-21
1073031340 Mark Allen Bennett Counselor 166 Broadway, Bangor, ME 04401-5208 2017-09-06
1518403724 Mark Andrew Bennett Pharmacist 1200 S Commerce Way, Brigham City, UT 84302-3117 2017-01-11
1871955435 Mark Richard Bennett Jr. Nurse Anesthetist, Certified Registered 709 W Main St, Manchester, IA 52057-1526 2016-03-23
1245609817 Mark Bennett Nursing Care 2766 W 11 Mile Rd Ste 2, Berkley, MI 48072-3033 2015-09-24
1871859223 Mark Kenneth Bennett Physician Assistant 4403 Harrison Blvd, Suite 1815, Ogden, UT 84403-3339 2012-04-10

Office Location

Street Address 2275 W BROADWAY ST
STE G
City IDAHO FALLS
State ID
Zip Code 83402-2902

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477766905 Tueller Counseling Inc Counselor 2275 W Broadway St, Suite G, Idaho Falls, ID 83402-2902 2007-05-08
1619585536 Mary E Hill Social Worker 2275 W Broadway St, Idaho Falls, ID 83402-2902 2020-07-16
1417506478 Marisol Ramirez Angeles Social Worker 2275 W Broadway St, Idaho Falls, ID 83402-2902 2019-09-11
1184160970 Brandi Hobbs Social Worker 2275 W Broadway St, Suite G, Idaho Falls, ID 83402-2902 2017-01-17
1316395205 Erica Lynne Liebe Social Worker 2275 W Broadway St, Suite G, Idaho Falls, ID 83402-2902 2016-06-01
1245604743 Laney Stenquist Social Worker 2275 W Broadway St, #g, Idaho Falls, ID 83402-2902 2015-11-20
1447651773 Cameron Ball Social Worker 2275 W Broadway St, Suite G, Idaho Falls, ID 83402-2902 2014-09-05
1497154660 Annette Fultz Counselor 2275 W Broadway St, Idaho Falls, ID 83402-2902 2014-08-13
1215344726 Charles Alvin Melick IIi Counselor 2275 W Broadway St, Ste. G, Idaho Falls, ID 83402-2902 2014-07-16
1992132427 Tueller Counseling Clinic/Center 2275 W Broadway St, Suite G, Idaho Falls, ID 83402-2902 2013-09-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326648015 Abigail Oakley Counselor Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 2020-10-30
1265041479 Fresenius Medical Care Snake River Clinic/Center 3195 South Fork Blvd, Idaho Falls, ID 83402 2020-07-24
1295352391 Fresenius Medical Care Idaho Falls, LLC Clinic/Center 3193 South Fork Blvd, Idaho Falls, ID 83402 2020-07-06
1952923765 Sterling Provider Group Clinic/Center 7017 Daisy Lane, Idaho Falls, ID 83402 2020-05-14
1528604188 Leslie Hendrian Massage Therapist 86 N Kaylee Circle, Idaho Falls, ID 83402 2019-11-19
1154966760 Christine Nicole Cardona Counselor 855 N. Captital Ave Ste 1, Idaho Falls, ID 83402 2019-11-07
1750847786 Brandi S Warnke Social Worker 254 E Street, Suite B, Idaho Falls, ID 83402 2019-02-14
1013402809 Kailey Lynn Moore Pharmacist 376 West 18th Street, Idaho Falls, ID 83402 2018-06-25
1407368616 Jessica Owsley Social Worker 2275 W Broadway Ste G, Idaho Falls, ID 83402 2017-10-27
1427419886 Becky Allen Developmental Therapist 150 Shoupe Ave, Idaho Falls, ID 83402 2016-03-14
Find all providers in zip 83402

Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437785698 Wright Step Counseling and Recovery Social Worker 610 S Woodruff Ave, Idaho Falls, ID 83401-5299 2020-03-19
1629614987 Wesley Robert Farrens Social Worker 855 N Capital Ave Ste 2, Idaho Falls, ID 83402-3405 2019-11-21
1881183499 Todd Devries Social Worker 211 S Woodruff Ave Ste A, Idaho Falls, ID 83401-4369 2018-05-09
1407368616 Jessica Owsley Social Worker 2275 W Broadway Ste G, Idaho Falls, ID 83402 2017-10-27
1609221308 Randall M. Parker Social Worker 163 E Elva St, Idaho Falls, ID 83402-2233 2016-05-01
1134543796 Linda B Duran Perez Social Worker 2100 Alan St, Idaho Falls, ID 83404-5801 2014-02-18
1376984054 Grover Louis Wray Social Worker 2222 Teton Plz Ste 2, Idaho Falls, ID 83404-6485 2013-07-10
1336426741 Greg Loveland Social Worker 283 West 19th Street, Idaho Falls, ID 83402 2011-11-14
1164709911 Ashley Renee Johnson Social Worker 2275 W Broadway St Ste C, Idaho Falls, ID 83402-2902 2011-11-08
1609197383 Shawn Lapray Social Worker 1036 E Lazy Ln, Idaho Falls, ID 83404-7790 2010-06-17
Find all providers in IDAHO FALLS

Competitor

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City IDAHO FALLS
Zip Code 83402

Improve Information

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Dataset Information

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.

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