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MR. MARK BARRY BENNETT LMSW
NPI 1306273784
Social Worker in Idaho Falls, ID

Active since October 01, 2013PECOS EnrolledAccepts Medicare Assignment
2275 W BROADWAY ST, STE G, IDAHO FALLS, ID 83402(208) 524-7400(208) 524-8004 Get Directions Write a Review

NPPES record last updated: October 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mark Barry Bennett Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK BARRY BENNETT LMSW (NPI 1306273784) is an individual social worker in Idaho Falls, Idaho, licensed in Idaho (LMSW-31056) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1306273784
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. MARK BARRY BENNETTCredential: LMSW
Location Address2275 W BROADWAY ST, STE GIdaho Falls, ID 83402-2902
Mailing Address2275 W Broadway St, Ste GIdaho Falls, ID 83402-2902 · (208) 524-7400 · Fax (208) 524-8004
Phone(208) 524-7400
Fax(208) 524-8004
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 1, 2013
✔ NPI 1306273784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in ID · LMSW-31056
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
2275 W BROADWAY ST, Idaho Falls, ID 83402
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Mark Barry Bennett Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860820727
PECOS Enrollment IDI20200309000520
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHARLES ALVIN MELICK III LCSW - 37691
Counselor
2275 W BROADWAY ST, STE. G
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
MARISOL RAMIREZ ANGELES LMSW
Social Worker
2275 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
CAMERON BALL LMSW
Social Worker (Clinical)
2275 W BROADWAY ST, SUITE G
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
ANNETTE FULTZ CADC
Counselor (Addiction (Substance Use Disorder))
2275 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
ANNA RUIZ-GRUWELL NP-C
Nurse Practitioner (Adult Health)
2275 W BROADWAY ST, SUITE G
IDAHO FALLS, ID 83402
Bonneville County (208) 529-3967
MARY E HILL LMSW
Social Worker
2275 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (508) 524-7400
CONNOR MCNAIRY
Social Worker
2275 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
MISS JENNY CHRISTINA QUIROZ LCPC
Counselor (Professional)
2275 W BROADWAY ST, SUITE C
IDAHO FALLS, ID 83402
Bonneville County (208) 523-7400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Bennett's NPI number?

The NPI number for Mark Bennett is 1306273784. It was assigned to this individual provider in the NPPES registry on October 1, 2013.

Where is Mark Bennett located?

Mark Bennett practices at 2275 W Broadway St Ste G, Idaho Falls, ID 83402. The listed phone number is (208) 524-7400.

What is Mark Bennett's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Mark Bennett enrolled in Medicare?

Yes. Mark Bennett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mark Bennett was last updated on October 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.