KOLLEEN MARIE BENNETT LMSW
NPI 1417670001
Social Worker - Clinical in Saint Joseph, MI

Active since September 20, 2022PECOS EnrolledAccepts Medicare Assignment
2900 LAKEVIEW AVE, SAINT JOSEPH, MI 49085(269) 982-7747 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 5, 2023, Sep 20, 2022 (2 updates tracked since 2022).

About Kolleen Marie Bennett Lmsw NPPES

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

KOLLEEN MARIE BENNETT LMSW (NPI 1417670001) is an individual clinical provider in Saint Joseph, Michigan, licensed in Michigan (6801114474) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Benton Harbor, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417670001
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKOLLEEN MARIE BENNETTCredential: LMSW
Location Address2900 LAKEVIEW AVESaint Joseph, MI 49085-2379
Mailing Address7085 Territorial RdBenton Harbor, MI 49022-9458 · (269) 313-4002
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 20, 2022
Last NPPES UpdateOctober 31, 20242 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
✔ NPI 1417670001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801114474
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2900 LAKEVIEW AVE, Saint Joseph, MI 49085

Secondary Practice Location 1

Location 17085 Territorial RdBenton Harbor, MI 49022 · Phone (269) 313-4002

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kolleen Marie 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 ID3577939255
PECOS Enrollment IDI20221020002305
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kolleen Bennett reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Case Management
2900 LAKEVIEW AVE
Saint Joseph, MI 49085
  • Reassigned Medicare billing, Michigan enrollment
  • 7 clinicians in this Medicare group
Social Worker
7085 TERRITORIAL RD
Benton Harbor, MI 49022
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group
Community/Behavioral Health
615 E CROSSTOWN PKWY
Kalamazoo, MI 49001
  • Reassigned Medicare billing, Michigan enrollment
  • 72 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
150 services22 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
27 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Case Management
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085
Case Manager/Care Coordinator
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085
Case Manager/Care Coordinator
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085
Nurse Practitioner (Family)
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085
Dietitian, Registered
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085
Nurse Practitioner (Gerontology)
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085
Social Worker
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085
Social Worker (Clinical)
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085

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 Kolleen Bennett's NPI number?

The NPI number for Kolleen Bennett is 1417670001. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Where is Kolleen Bennett located?

Kolleen Bennett practices at 2900 Lakeview Ave, Saint Joseph, MI 49085. The listed phone number is (269) 982-7747.

What is Kolleen Bennett's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kolleen Bennett enrolled in Medicare?

Yes. Kolleen 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.

Which organizations bill Medicare for Kolleen Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kolleen Bennett reassigns Medicare benefits to 3 organizations: Region IV Area Agency On Aging, Inc (Saint Joseph, MI), Geriatric Connections LLC (Benton Harbor, MI) and Kalamazoo County Community Mental Health Authority (Kalamazoo, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kolleen Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kolleen Bennett accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Kolleen Bennett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kolleen Bennett was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.