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Contact Information

DARRAL N BENNETT JR, LICSW
1 MEDICAL CENTER DR
CLARKSBURG, WV26301
 Phone: 304-623-3461
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for DARRAL N BENNETT JR · (Male)

NPI Number 1013677590
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 12/23/2021
Last updated 12/23/2021 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • WV License # DP00945125
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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