Individual
KATHERINE SUE BENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4920 E MILLRIDGE PARKWAY, SUITE 220, RICHMOND, VA 23112
(804) 622-5350
(804) 622-5350
Mailing address
4920 E MILLRIDGE PARKWAY, SUITE 220, RICHMOND, VA 23112
(804) 622-5350
(804) 622-5350
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17731015
AETNA PROVIDER NUMBER
VA
01
—
289622
ANTHEM
VA
01
—
341121
UNITED BEHAVIORAL HEALTH
VA
01
—
87854M
SENTARA
VA
01
—
954796
COMPSYCH
VA
Enumeration date
06/21/2006
Last updated
07/09/2007
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