| Mr Scott Allen Bennett, LCSW, LICSW | |
|
73 Spruce St, Massena, NY 13662-1305 | |
| (315) 600-8636 | |
| (315) 365-5600 |
| Full Name | Mr Scott Allen Bennett |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 73 Spruce St, Massena, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003095795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 114361 (Massachusetts) | Secondary |
| 1041C0700X | Social Worker - Clinical | 089948 (New York) | Primary |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20220826002724 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Scott Allen Bennett, LCSW, LICSW 73 Spruce St, Massena, NY 13662-1305 Ph: (315) 600-8636 | Mr Scott Allen Bennett, LCSW, LICSW 73 Spruce St, Massena, NY 13662-1305 Ph: (315) 600-8636 |
Ms. Mary Ann Vanbuskirk, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 73 Bishop Ave, Massena, NY 13662 Phone: 315-764-7349 | |
Kelli Marie Clark, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 23 Maple St, Massena, NY 13662 Phone: 315-769-8441 | |
Cynthia Marie Babbitt, LCSWR Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23 Maple St, Massena, NY 13662 Phone: 315-769-8441 Fax: 315-769-3902 | |
Athena Marie Curley, L.M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23 Maple St, Massena, NY 13662 Phone: 315-769-8441 Fax: 315-769-3902 | |
Joan Sharon Delarm, MSW LCSWR ACSW DCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 74 Andrews St, Massena, NY 13662 Phone: 315-764-9033 Fax: 315-764-9033 | |
Mr. George Lesher Vanbuskirk, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23 Maple St, Massena, NY 13662 Phone: 315-769-8441 Fax: 315-769-3902 |