National Provider Identifier
Lisa M Bennett
Lisa M Bennett is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 816-2445.
Profile Overview
- NPI
- 1487379608
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 10, 2022
- Last Updated
- July 18, 2024
Practice Location
- 400 Forest Ave
- Buffalo, NY 14213-1207
Phone: (716) 816-2445
Mailing Address
- 280 Washington Ave Uppr
- Buffalo, NY 14217-1805
Specialties
- Clinical Social Worker (1041C0700X)
Endpoints
- CDietz@tranquilwaterswny.com
Direct Messaging Address | Other | Other | Elma, NY 14059
Email Address
Full Record
- NPI
- 1487379608
- Entity Type
- Individual
- Last Name
- Bennett
- First Name
- Lisa
- Middle Name
- M
- Mailing Street Address
- 280 Washington Ave Uppr
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14217-1805
- Mailing Country
- US
- Practice Street Address
- 400 Forest Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213-1207
- Practice Country
- US
- Practice Phone
- (716) 816-2445
- Practice Fax
- (716) 816-2537
- Enumeration Date
- October 10, 2022
- Last Updated
- July 18, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- July 18, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)