Bennett, Sara J

Bennett, Sara J is an individual health care provider with primary practice located at 1 Saint Anthonys Way , Alton IL 62002-4568. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bennett, Sara J can be contacted via phone (618) 474-6240.

Contact Information

Primary practice address
1 Saint Anthonys Way Alton IL 62002-4568
Phone: (618) 474-6240
Fax: (618) 474-6242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149022687 Illinois

Profile Details

NPI number 1447884481
LBN Legal business name Bennett, Sara J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2020
Last updated Jan 14th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447884481 NPPES
Illinois MEDICAID IL2970

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