Mark Bennett PLLC
NPI 1285396481ActiveOrganization· Social Worker, Clinical· Idaho Falls, ID
Social Worker, Clinical in Idaho Falls, Idaho, registered in NPPES in October 2021. The authorized official on file is Mark Barry Bennett, LCSW, Clinical Social Worker. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1285396481 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 6, 2021 |
| Last updated in NPPES | Oct 6, 2021 |
| Certified by provider | Oct 4, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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