Kelly Bennett, LMSW

NPI #1992260558 in Shirley, New York

Provider Information

NPI Number: 1992260558
Entity Type: Individual
Name: Kelly Bennett, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Feb 7, 2019
Last Updated: Aug 25, 2025

Practice Location

Address: 2 CORACI BLVD STE 15&16
City: Shirley
State: New York
ZIP Code: 11967-4833
Phone: (631) 696-4357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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