Bennett, Katie Carol

Bennett, Katie Carol is an individual health care provider with primary practice located at 1400 N Ritter Ave Ste 230, Indianapolis IN 46219-3052. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bennett, Katie Carol can be contacted via phone (317) 355-7744.

Contact Information

Primary practice address
1400 N Ritter Ave Ste 230 Indianapolis IN 46219-3052
Phone: (317) 355-7744
Fax: (317) 355-8750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34000711A Indiana
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34006797A Indiana

Profile Details

NPI number 1467647628
LBN Legal business name Bennett, Katie Carol
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2007
Last updated Oct 22nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467647628 NPPES
Indiana Other 000000856452 ANTHEM BCBS

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