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

Nicole Marie Bennett, CDCA179664

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1992302921

Nicole Marie Bennett, CDCA179664 is an Addiction (Substance Use Disorder) Counselor in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2121 W 117th St
Cleveland, OH 44111-1642
Phone: (216) 417-4831
Fax: (216) 417-0040
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.179664 (OH)

Record details

NPI number1992302921
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCA179664
Sole proprietorYes
NPI enumeratedOctober 2, 2020
Last updated in NPPESApril 20, 2023
Certification dateApril 20, 2023

Other providers in Cleveland