MS. MYRA WOOD BENNETT (NPI# 1528508645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528508645 |
| Entity Type | Individual |
| Full Name | MS. MYRA WOOD BENNETT |
| Credential | MSW |
| Practice Address |
206 W 5th St Metropolis IL 62960-1810 |
| Practice Telephone | 6185249368 |
| Mailing Telephone | 6185249368 |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
1290403 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669038444 | Myra Jean Bennett | Behavior Technician | 5500 Murrell Rd, Melbourne, FL 32940-6700 | 2019-05-16 |
| 1437443504 | Myra F Bennett | Counselor | 1106 Julie Ln, Powell, WY 82435-1632 | 2011-06-06 |
| 1790901171 | Myra Lyn Bennett | Counselor | 5350 Poplar Ave Ste 730, Memphis, TN 38119-3697 | 2007-04-17 |
| Street Address |
206 W 5TH ST |
| City | METROPOLIS |
| State | IL |
| Zip Code | 62960-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902419583 | Brittney Lynn Woods | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2020-08-25 |
| 1447863063 | Maribeth Dippie Ethridge-hicks | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2020-08-24 |
| 1093327322 | Jessica Weaver | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2020-08-18 |
| 1023636479 | Jennea Harris | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2020-07-13 |
| 1831725050 | Shantaye Powell | Social Worker | 206 W 5th St, Metropolis, IL 62960-1810 | 2020-03-19 |
| 1699306332 | Kelsey Mcnichols | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2020-01-31 |
| 1649827155 | Tina Michelle Mathis | Social Worker | 206 W 5th St, Metropolis, IL 62960-1810 | 2019-08-20 |
| 1376190884 | Lily Madison Holland | Social Worker | 206 W 5th St, Metropolis, IL 62960-1810 | 2019-08-20 |
| 1629530498 | Cicely Ronielle Shelton | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2019-04-02 |
| 1013471424 | Dylan Wade Street | Student in an Organized Health Care Education/Training Program | 206 W 5th St, Metropolis, IL 62960-1810 | 2019-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972069078 | Amber Nicole Garcia | Social Worker | 205 W 5th Street, Metropolis, IL 62960 | 2019-02-13 |
| 1407251622 | Massac County Surgery Center LLC | Clinic/Center | 1811 E 5th St, Metropolis, IL 62960 | 2014-10-30 |
| 1750535761 | Robert Hays Bryan | Dentist | 805 Market St., Metropolis, IL 62960 | 2008-11-05 |
| 1518144682 | Rebecca Louise Mcquage | Counselor | 206 West 5th St, Metropolis, IL 62960 | 2008-01-30 |
| 1154640902 | Syed S Kazmi | Family Medicine | 12 Hospital Drive, Metropolis, IL 62960 | 2007-04-20 |
| 1083736680 | Bharat K Patel Sc | Internal Medicine | 12 Hospital Dr., Memorial Heights, Metropolis, IL 62960 | 2007-04-04 |
| 1467594747 | Peggy Sue Legereit | Speech-Language Pathologist | 3037 Lakeview Dr, Metropolis, IL 62960 | 2007-02-13 |
| 1821150475 | Ruth E Johnson | Counselor | 206 West 5th, Metropolis, IL 62960 | 2006-12-13 |
| 1720140379 | James Allen Haley | Counselor | 206 West 5th Street, Metropolis, IL 62960 | 2006-12-13 |
| 1659432185 | Gary T Brush | Optometrist | 1801 E 5th Street, Metropolis, IL 62960 | 2006-12-12 |
| Find all providers in zip 62960 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740602937 | Jessica Sawyer | Social Worker | 3028 Old Marion Rd, Metropolis, IL 62960-2942 | 2014-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059818 | Amy D Ruckman | Social Worker | 407 S Edwards St, Altamont, IL 62411-1799 | 2020-09-29 |
| 1568080612 | Jordan Coleman | Social Worker | 1421 Marshall Ave, Mattoon, IL 61938-5341 | 2020-07-06 |
| 1164063632 | John Naret | Social Worker | 9130 S 52nd Ave, Oak Lawn, IL 60453-1799 | 2019-10-04 |
| 1306496393 | Marie Nagle | Social Worker | 6316 157th St, Oak Forest, IL 60452-2710 | 2019-09-12 |
| 1639641376 | Brandon Christensen | Social Worker | 110 Collins St, Joliet, IL 60432-2942 | 2018-12-19 |
| 1558847335 | Inner Balance Wellness | Social Worker | 303 E Army Trail Rd Ste 207, Bloomingdale, IL 60108-2143 | 2018-07-16 |
| 1538675244 | Mary Elizabeth Hall | Social Worker | 411 Stave Mill Rd, Murphysboro, IL 62966-4888 | 2017-12-18 |
| 1184133084 | Andrea Lynn Geis | Social Worker | 50 Blackwood Dr, Murphysboro, IL 62966-2937 | 2017-09-22 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1528587318 | Jaclyn Hood | Social Worker | 3945 Wehrman, Schiller Park, IL 60176 | 2017-09-13 |
| Find all providers with the same taxonomy | ||||
| City | METROPOLIS |
| Zip Code | 62960 |
Please comment or provide details below to improve the information on MS. MYRA WOOD 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.