Doctor Name: | DONNA BOWERS BENNETT |
NPI Number: | 1154682821 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-C |
License Number: | 09312 |
Business Practice Address: | 29958 Killpeck Creek Ct Charlotte Hall, MD - 206223166 |
Business Phone Number: | 3012900040 |
Business Fax Number: | 3012900050 |
Mailing Address: | Po Box 65, MECHANICSVILLE |
State: | MD |
Postal Code: | 206590065 |
Phone Number: | 3012900040 |
Fax Number: | 3012900050 |
NPI Enumeration Date: | 05/30/2012 |
NPI Last Update Date: | 05/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 09312 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |