MARY BENNETT (NPI# 1588737761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588737761 |
| Entity Type | Individual |
| Full Name | MARY BENNETT |
| Credential | LCSW |
| Practice Address |
17 Bishop St Portland ME 04103-2659 |
| Mailing Address |
899 Riverside St Portland ME 04103-1070 |
| Practice Telephone | 2078711235 |
| Practice Fax Number | 2078796161 |
| Mailing Telephone | 2078711200 |
| Mailing Fax Number | 2078711232 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LC4230 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM | RB9 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508412834 | Mary Frances Bennett | Counselor | 4000 Hulen Pl Apt 231, Fort Worth, TX 76107-7373 | 2019-08-13 |
| 1902387418 | Mary Theresa Bennett | Occupational Therapist | 450 Claggett Ct N, Keizer, OR 97303-4446 | 2018-08-22 |
| 1184133829 | Mary Bennett | Speech-Language Pathologist | 6760 Oh St Rt. 34, Lynchburg, OH 45036 | 2017-09-26 |
| 1699218230 | Mary Ann Bennett | Counselor | 6051 Turning Spoke Trl Unit 102, Henderson, NV 89011-1470 | 2016-11-30 |
| 1760807325 | Mary Bennett | Speech-Language Pathologist | 890 W 4th St Ste 100, Ontario, OH 44906-2561 | 2014-02-19 |
| 1265768097 | Mary Kathryn Bennett | Social Worker | 983 Spaulding Ave. S.e., Ada, MI 49301 | 2009-10-29 |
| 1285805390 | Mary Ellen Bennett | Licensed Practical Nurse | 1200 Griffith Way, Lot # 6, Douglas, WY 82633-2372 | 2008-03-17 |
| 1053580399 | Mary Louise Bennett | Physical Therapist | 5908 Monroe Ave, Evansville, IN 47715-5052 | 2008-02-20 |
| 1609072040 | Mary Frances Bennett | Dietitian, Registered | 4538 Tannery Rd, Campbell, NY 14821-9736 | 2007-06-22 |
| 1225255441 | Mary Ann Bennett | Registered Nurse | 5442 Reighmoor Rd, Omro, WI 54963-9438 | 2007-04-19 |
| Street Address |
17 BISHOP ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103-2659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316945090 | Spurwink Services Incorporated | Case Management | 17 Bishop St, Portland, ME 04103-2659 | 2005-07-07 |
| 1376190173 | Allison Leslie Hart | Counselor | 17 Bishop St, Portland, ME 04103-2659 | 2019-08-26 |
| 1619538782 | Gabrielle Alyson Bowker | Family Medicine | 17 Bishop St, Portland, ME 04103-2659 | 2019-06-27 |
| 1316417397 | Guardian Portland LLC | Clinic/Center | 17 Bishop St, Portland, ME 04103-2659 | 2018-12-03 |
| 1730673088 | Pine Tree Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 17 Bishop St, Portland, ME 04103-2659 | 2018-06-20 |
| 1902200868 | Jamie Hussey | Social Worker | 17 Bishop St, Portland, ME 04103-2659 | 2014-10-21 |
| 1609184654 | Randi-anne Bruneau | Counselor | 17 Bishop St, Portland, ME 04103-2659 | 2010-09-23 |
| 1164730685 | Sarah Ann Labonte | Nurse Practitioner | 17 Bishop St, 2nd Floor, Portland, ME 04103-2659 | 2010-09-17 |
| 1023259892 | Rebecca W Spitko | Case Manager/Care Coordinator | 17 Bishop St, Portland, ME 04103-2659 | 2009-03-09 |
| 1487802013 | Ricque V Finucane | Counselor | 17 Bishop St, Portland, ME 04103-2659 | 2008-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1982251435 | Hope Home Healthcare, LLC | Home Health | 68 Bishop St Unit 3 #2, Portland, ME 04103 | 2019-08-20 |
| 1992367023 | Care for Everyone | In Home Supportive Care | 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 | 2019-06-28 |
| 1093373458 | Emanuel Nistrian | Student in an Organized Health Care Education/Training Program | Une, 716 Stevens Ave., Portland, ME 04103 | 2019-05-31 |
| 1023676483 | Robert Montague | Student in an Organized Health Care Education/Training Program | University of New England, 716 Stevens Ave, Portland, ME 04103 | 2019-05-31 |
| 1154838027 | Kimberly Therriault | Behavior Technician | 527 Ocean Ave Ste 19, Portland, ME 04103 | 2018-01-02 |
| 1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
| 1578082244 | Darcelle Kay Stillman | Occupational Therapist | 90 Dorothy St, Portland, ME 04103 | 2017-09-14 |
| 1821524943 | Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
| 1720524283 | Hannah Rose Kazilionis | Counselor | 257 Deering Ave # 204, Portland, ME 04103 | 2017-01-09 |
| Find all providers in zip 04103 | ||||
| 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 |
|---|---|---|---|---|
| 1063012649 | Kathleen Russell | Social Worker | 7700 Sw Garden Home Rd Apt 23, Portland, OR 97223-7496 | 2020-10-31 |
| 1275131534 | Alice Hacker | Social Worker | 14702 Se Rhone St, Portland, OR 97236-2557 | 2020-10-09 |
| 1598372070 | Kristin Elizabeth Hajny | Social Worker | 9343 Sw Camille Ter, Portland, OR 97223-7042 | 2020-09-28 |
| 1821605759 | Melanie Smith | Social Worker | 4210 N Juneau St, Portland, OR 97203-2063 | 2020-09-24 |
| 1871100867 | Purely Spirit Holistic Health, LLC | Social Worker | 226 Stevens Ave Apt 9, Portland, ME 04102-2263 | 2020-09-24 |
| 1023624780 | Flourish Counseling and Consulting LLC | Social Worker | 8401 Ne Halsey St Ste 107, Portland, OR 97220-5670 | 2020-09-18 |
| 1245845130 | Crescent Psychotherapy | Social Worker | 168 Neal St, Portland, ME 04102-3343 | 2020-09-09 |
| 1861007676 | Yvonne Recchia | Social Worker | 5257 Ne Mlk, Portland, OR 97211-3282 | 2020-09-09 |
| 1447864327 | Gordon Keepers | Social Worker | 3181 Sw Sam Jackson Park Rd # Uhs8-l, Portland, OR 97239-3098 | 2020-09-08 |
| 1609484187 | Julie Pratt | Social Worker | 14 Culver Ln, Portland, CT 06480-1323 | 2020-07-21 |
| Find all providers in PORTLAND | ||||
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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.