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NPI Code Detail

MEDICARE: VIRGINIA L BENJAMIN SENNETT LCSW

MEDICARE:   VIRGINIA L BENJAMIN SENNETT  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker10373TX

General Provider Information

NPI Number : 1619268851
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA L BENJAMIN SENNETT LCSW
Provider Business Mailing Address
First Line : 12609 DESSAU RD LOT 183
Second Line :
City : AUSTIN
State : TX
Zip : 78754-1819
Country : US
Telephone Number : 512-739-5879
Fax Number :
Provider Business Practice Location Address
First Line : 12609 DESSAU RD LOT 183
Second Line :
City : AUSTIN
State : TX
Zip : 78754-1819
Country : US
Telephone Number : 512-739-5879
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2011
Last Update Date : 04/21/2011

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Directions to “ VIRGINIA L BENJAMIN SENNETT LCSW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.