Susan M Bennett
Susan M Bennett is a Mental Health Counselor in Rochester, New York. Qualified in 2009, 17 years ago. Practices as a sole proprietor. Licensed in Massachusetts and New York.
- Years since qualifying
- 17
- Licensed in
- MA, NY
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
280 E Broad St Apt 912Rochester, NY 14604-1732
Phone: (978) 651-1114
Fax: (978) 372-6173
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X · Licence 011525 (NY) |
| Professional Counselor | Taxonomy 101YP2500X · Licence 7875 (MA) |
Record details
| NPI number | 1699968644 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 23, 2007 |
| Last updated in NPPES | December 2, 2023 |
| Certification date | December 2, 2023 |
| Mailing address | 280 E Broad St Apt 912, Rochester, NY 14604-1732 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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