NPI 1013677590

Darral N Bennett, LICSW

Practitioner Clinical Social Worker Clarksburg, WV

Practice location

Address: 1 Medical Center Dr, Clarksburg, WV 26301
Phone: (304) 623-3461
Mailing address: 338 Ridgeway Dr, Bridgeport, WV 26330-1276

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence DP00945125 (WV)

Other Social Worker providers in West Virginia →

Registry record

NPI: 1013677590
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Dec 2021
Record last updated: 23 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.