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

Mr. Mark Barry Bennett, LMSW

Individual provider Social Worker · NPI 1306273784

Mr. Mark Barry Bennett, LMSW is a Clinical Social Worker in Idaho Falls, Idaho. Qualified in 2010, 16 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
16
Licensed in
ID
In the registry since
2013
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

2275 W Broadway St Ste G
Idaho Falls, ID 83402-2902
Phone: (208) 524-7400
Fax: (208) 524-8004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LMSW-31056 (ID)

Record details

NPI number1306273784
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorYes
NPI enumeratedOctober 1, 2013
Last updated in NPPESOctober 1, 2013
Mailing address2275 W Broadway St, Ste G, Idaho Falls, ID 83402-2902

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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