National Provider Identifier
Susan M Bennett
Susan M Bennett is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (978) 651-1114.
Profile Overview
- NPI
- 1699968644
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- August 23, 2007
- Last Updated
- December 02, 2023
Practice Location
- 280 E Broad St Apt 912
- Rochester, NY 14604-1732
Phone: (978) 651-1114
Specialties
- Clinical Social Worker (1041C0700X)
- Professional Counselor (101YP2500X)
Full Record
- NPI
- 1699968644
- Entity Type
- Individual
- Last Name
- Bennett
- First Name
- Susan
- Middle Name
- M
- Provider Other Last Name
- Blodgett
- Provider Other First Name
- Susan
- Provider Other Middle Name
- M
- Provider Other Credential Text
- M.ED
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 280 E Broad St Apt 912
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14604-1732
- Mailing Country
- US
- Mailing Phone
- (978) 651-1114
- Mailing Fax
- (978) 373-6363
- Practice Street Address
- 280 E Broad St Apt 912
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14604-1732
- Practice Country
- US
- Practice Phone
- (978) 651-1114
- Practice Fax
- (978) 372-6173
- Enumeration Date
- August 23, 2007
- Last Updated
- December 02, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- December 02, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Professional Counselor (101YP2500X)
- Other Identifiers
- 1100952383 (MA)