Active NPIIndividual providerSole proprietor

Tiana A Bennett, LICSW

Social Worker, Clinical in Boston, Massachusetts

NPI Number1114691516
Practice location
430 Canterbury St, Boston, MA 02131-3216
Fax
—
Last updated
August 9, 2021

Tiana A Bennett is a Social Worker, Clinical based in Boston, MA. Tiana A Bennett practices in Boston, MA and has the professional credentials of LICSW. The NPI Number for Tiana A Bennett is 1114691516 and holds a License No. 113352 (MA). The current practice location address for Tiana A Bennett is 430 Canterbury St, Boston, MA 02131-3216 and can be reached out via phone at 617-299-6223.

Provider Profile Details

NPI Number
1114691516
Provider Name
Tiana A Bennett
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
430 Canterbury St, Boston, MA 02131-3216
Phone Number
617-299-6223
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 9, 2021
Last Update Date
August 9, 2021
Certification Date
August 8, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
430 Canterbury St
Boston, MA 02131-3216
City
Boston
Zip
02131-3216
Phone Number
617-299-6223
Boston, MA 02131Get directions →

Provider Business Mailing Address Details

Address
430 Canterbury St
Boston, MA 02131-3216
City
Boston
State
MA
Zip
02131-3216

License Information

License Number
113352
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tiana A Bennett, LICSW?

The NPI number of Tiana A Bennett, LICSW is 1114691516. It was assigned on August 9, 2021 and is currently active in the NPPES registry.

What is the specialty of Tiana A Bennett, LICSW?

Tiana A Bennett, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 113352.

Where does Tiana A Bennett, LICSW practice?

The practice location is 430 Canterbury St, Boston, MA 02131-3216. The office can be reached at 617-299-6223 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114691516 directly on the NPPES registry website.

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