Individual
MS. AMORELLE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
2817 W 30TH ST, BROOKLYN, NY 11224-1803
(718) 372-2277
Mailing address
2817 W 30TH ST, BROOKLYN, NY 11224-1803
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R045210
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045210-A37
HEALTHFIRST
NY
01
—
NF0861
BLUESHIELD/BLUECROSS
—
Enumeration date
08/27/2008
Last updated
08/27/2008
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