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

Tina Bennett, LICSW

Individual provider Clinical Social Worker · NPI 1821611005

Tina Bennett, LICSW is a Clinical Social Worker in Clarksburg, West Virginia. Licensed in West Virginia. Registered with an NPI since 2020.

Licensed in
WV
In the registry since
2020
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1 Medical Center Dr
Clarksburg, WV 26301
Phone: (304) 623-3461
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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 DP00941494 (WV)

Record details

NPI number1821611005
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 22, 2020
Last updated in NPPESMay 22, 2020
Certification dateMay 22, 2020
Mailing address205 High St, Jane Lew, WV 26378-7945

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