KELLY BENNETT LMSW
NPI 1992260558
Social Worker in Shirley, NY

Q: What is Kelly Bennett's NPI number?

The NPI number for Kelly Bennett is 1992260558. It was assigned to this individual provider in the NPPES registry on February 7, 2019.

Q: What is Kelly Bennett's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Bennett was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since February 07, 2019PECOS Enrolled

2 CORACI BLVD STE 15&16, SHIRLEY, NY 11967(631) 696-4357 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly Bennett Lmsw NPPES

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

KELLY BENNETT LMSW (NPI 1992260558) is an individual social worker in Shirley, New York, licensed in New York (122771) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1992260558

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameKELLY BENNETTCredential: LMSW

Location Address2 CORACI BLVD STE 15&16Shirley, NY 11967-4833

Mailing Address1377 Motor Pkwy Ste 102Islandia, NY 11749-5249

Phone(631) 696-4357

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 7, 2019

Last NPPES UpdateAugust 25, 2025

NPPES CertifiedAugust 25, 2025

✔ NPI 1992260558 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 NY · 122771

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.

2 CORACI BLVD STE 15&16, Shirley, NY 11967

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Other Identifiers 1

Medicaid03299096NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Bennett Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820501208

PECOS Enrollment IDI20250725004089

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 20

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

ISABELLA ALVAREZ

Counselor (Addiction (Substance Use Disorder))