Individual provider · Type 1 NPI

Ola Fuller Bennett, L.C.S.W.

Clinical Social Worker · Oakland, CA

NPI number 1154522159 Active

Practice location

3007 Telegraph Ave
Oakland, CA 94609-3205

Fax (510) 433-1500

Mailing address

4034 Harding Way
Oakland, CA 94602-1920

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 5778 (CA)

Clinical Social Worker: 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 interpers…

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About NPI 1154522159

Ola Fuller Bennett, L.C.S.W.'s National Provider Identifier is 1154522159, issued on May 29, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oakland, CA. The record was last updated on Jul 8, 2007.