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NPI Code Detail

MEDICARE: SAMANTHA BENNETT-GARCIA

MEDICARE: SAMANTHA BENNETT-GARCIA
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 Worker149.030984IL

General Provider Information

NPI Number : 1912766114
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA BENNETT-GARCIA
Provider Business Mailing Address
First Line : 3801 MIRANDA AVE BLDG 100
Second Line :
City : PALO ALTO
State : CA
Zip : 94304-1207
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3801 MIRANDA AVE RM A3100
Second Line :
City : PALO ALTO
State : CA
Zip : 94304-1207
Country : US
Telephone Number : 972-816-0058
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2024
Last Update Date : 01/14/2026

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Directions to “ SAMANTHA BENNETT-GARCIA ” Practice Location

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