Individual
SARA BENNETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-PIP
Contact information
Practice address
2412 S CLIFF AVE, SUITE 100, SIOUX FALLS, SD 57105-4031
(605) 322-4079
(605) 322-4080
Mailing address
LRMC UNIT 331000, APO, AE 09180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2350
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952578296
—
MN
05
—
6571580
—
SD
05
—
6571582
—
SD
01
—
9265220
DAKOTACARE
—
01
—
P00656542
RAILROAD MEDICARE
SD
Enumeration date
05/15/2008
Last updated
07/13/2023
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