MEDICARE: LENA BENNET LCSW LLC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588233761
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LENA BENNET LCSW LLC

Provider Business Mailing Address
First Line	:	PO BOX 1363
Second Line	:
City	:	PENA BLANCA
State	:	NM
Zip	:	87041-1363
Country	:	US
Telephone Number	:	505-934-6558
Fax Number	:

Provider Business Practice Location Address
First Line	:	6617 VOOSCANE AVE
Second Line	:
City	:	COCHITI LAKE
State	:	NM
Zip	:	87083-6003
Country	:	US
Telephone Number	:	505-934-6558
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. MADELEINE BENNET
Credential	:	LCSW
Telephone Number	:	505-796-4210

Provider Enumeration Date	:	06/22/2021
Last Update Date	:	11/30/2021

Similar Medicare Providers

1558435990 — TOWN OF COCHITI LAKE
Practice Location Address:

6515C HOOCHANEETSA BLVD
COCHITI LAKE, NM
87083-6031

Practice Phone: 505-465-2421
Practice Fax:

1881997740 — SANDRA J WISE LMT
Practice Location Address:

6500 HOOCHANEETSA BLVD
COCHITI LAKE, NM
87083-6030

Practice Phone: 505-465-0241
Practice Fax:

1780928531 — MRS. KRISTINA M MARCH LPCC
Practice Location Address:

6596 SAHCHU LN
COCHITI LAKE, NM
87083-6013

Practice Phone: 505-366-1842
Practice Fax:

1659119402 — NATIONAL LATINO BEHAVIORAL HEALTH ASSOCIATION
Practice Location Address:

6555 ROBIN ST
COCHITI LAKE, NM
87083-6025

Practice Phone: 505-980-5156
Practice Fax:

1427143965 — HOWARD M. OTTENHEIMER PH.D.
Practice Location Address:

411 SAINT MICHAELS DR , SUITE, 8
SANTA FE, NM
87505-7655

Practice Phone: 505-989-3639
Practice Fax:

1427115872 — MS. BETH A DARROW MS LPC
Practice Location Address:

3212 MONTE VISTA BLVD NE
ALBUQUERQUE, NM
87106-2120

Practice Phone: 903-315-1678
Practice Fax:

Directions to “LENA BENNET LCSW LLC ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.