Bennett, Virginia Elizabeth

Bennett, Virginia Elizabeth is an sole proprietor health care provider with primary practice located at 100 W 3Rd St Ste 304 , Owensboro KY 42303-4129. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bennett, Virginia Elizabeth can be contacted via phone (270) 315-1443.

Contact Information

Primary practice address
100 W 3Rd St Ste 304 Owensboro KY 42303-4129
Phone: (270) 315-1443
Fax: (270) 228-0341
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X ADCLAD00225431 Kentucky
Behavioral Health & Social Service Providers / Social Worker 104100000X 6120 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 252610 Kentucky

Profile Details

NPI number 1578953618
LBN Legal business name Bennett, Virginia Elizabeth
Credentials LCSW; LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2015
Last updated Mar 17th, 2018 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578953618 NPPES
Kentucky MEDICAID 7100412450
Kentucky Other K236700

Popular Providers