MARY ELLEN BENNETT LCSW
NPI 1821044900
Social Worker - Clinical in San Diego, CA

Active since May 26, 2006
16935 W BERNARDO DR, SUITE 208, SAN DIEGO, CA 92127(858) 218-6653(858) 451-0333 Get Directions Write a Review

NPPES record last updated: April 28, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 28, 2017, Mar 21, 2017 (2 updates tracked since 2017).

About Mary Ellen Bennett Lcsw NPPES

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

MARY ELLEN BENNETT LCSW (NPI 1821044900) is an individual clinical provider in San Diego, California, licensed in California (LCS20406) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1821044900
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY ELLEN BENNETTCredential: LCSW
Location Address16935 W BERNARDO DR, SUITE 208San Diego, CA 92127-1634
Mailing Address16935 W Bernardo Dr, Suite 208San Diego, CA 92127-1634 · (858) 218-6653 · Fax (858) 451-0333
Fax(858) 451-0333
Sole ProprietorYes
Enumeration DateMay 26, 2006
Last NPPES UpdateApril 28, 20172 updates tracked since enumeration
NPI 1821044900 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 CA · LCS20406
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.

16935 W BERNARDO DR, San Diego, CA 92127

Other Identifiers 2

Medicare PINW416CA
Medicare PINSW20406CA

Other Providers at the Same Location NPPES 15

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

Marriage & Family Therapist
16935 W BERNARDO DR, SUITE 108
SAN DIEGO, CA 92127
Psychologist
16935 W BERNARDO DR, SUITE 105
SAN DIEGO, CA 92127
Social Worker (Clinical)
16935 W BERNARDO DR, SUITE 237
SAN DIEGO, CA 92127
Psychologist (Clinical)
16935 W BERNARDO DR, SUITE 237
SAN DIEGO, CA 92127
Psychologist (Clinical)
16935 W BERNARDO DR, 238
SAN DIEGO, CA 92127
Psychologist
16935 W BERNARDO DR, SUITE 110
SAN DIEGO, CA 92127
Psychologist (Clinical)
16935 W BERNARDO DR, SUITE 170
SAN DIEGO, CA 92127
Psychiatry & Neurology (Psychiatry)
16935 W BERNARDO DR, SUITE # 107
SAN DIEGO, CA 92127

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821044900, enumerated as an "individual" on May 26, 2006.

The provider is located at 16935 W BERNARDO DR SUITE 208 SAN DIEGO, CA 92127 and the phone number is (858) 218-6653.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.