MEDICARE: ERIN L BENNETTS 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
1	1041C0700X	Clinical Social Worker	992833	CO

General Provider Information

NPI Number	:	1801806302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN L BENNETTS LCSW

Provider Business Mailing Address
First Line	:	7390 S WELLINGTON ST
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80122-1475
Country	:	US
Telephone Number	:	720-647-7700
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 W DRY CREEK CIR STE 220
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80120-4477
Country	:	US
Telephone Number	:	720-647-7700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	09/25/2020

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