Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jamie Bennett, LCSW

Individual provider Clinical Social Worker · NPI 1992220297

Jamie Bennett, LCSW is a Clinical Social Worker in Vallejo, California. Qualified in 2017, 9 years ago. Practices with Thriveworks Clinical - California PC, a 54-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
9
Licensed in
CA, NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

631 Tennessee St Ste 101
Vallejo, CA 94590-4432
Phone: (617) 379-0469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 100855 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 090336 (NY)

Record details

NPI number1992220297
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 8, 2017
Last updated in NPPESJuly 28, 2021
Certification dateJuly 2, 2021
Mailing address631 Tennessee St Ste 101, Vallejo, CA 94590-4432

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Thriveworks Clinical - California Pc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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