Provider Demographics
NPI:1487483996
Name:WEST-BENNET, TAMMY (LMSW)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name:WEST-BENNET
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 E 58TH ST APT 3
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2023
Mailing Address - Country:US
Mailing Address - Phone:212-365-4461
Mailing Address - Fax:
Practice Address - Street 1:232 E 58TH ST APT 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2023
Practice Address - Country:US
Practice Address - Phone:212-365-4461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY122929-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker