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Deactivated NPI 1417158064 Deactivated / Inactive NPI Male Practitioner

Clinton Allan Bennett , BS TLSW

Case Manager/Care Coordinator • Elkins, WV

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Clinton Bennett has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 30, 2007
NPI Deactivation Date August 15, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Clinton Bennett, BS TLSW was a registered Case Manager/Care Coordinator practicing in Elkins, WV. Throughout an active medical career spanning 15 years, Clinton Bennett provided care at the practice location at 971 HARRISON AVE until profile deactivation on 2022-08-15.

Practice Location & Contact Primary Location

Practice Address

971 Harrison Ave

Elkins, WV 26241

Telephone 3046369450
Fax 3046367057
Associated Practice Facility / Clinic
🏢 Youth Health Service, Inc Facility NPI 1326145525

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Elkins, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
56 Specialists

Practicing in Elkins, WV (1651 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

State License WV TL04069609

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

36 Associated Practitioners
Kelly Rayfield , BA LSW

Case Manager/Care Coordinator

NPI 1023224813

BALSW

Tiffany Primavero , BA

Case Manager/Care Coordinator

NPI 1063358190

Bachelor of Arts

NPI 1073714622

MALPC

Barry Row , LPC

Marriage & Family Therapist

NPI 1093935017

Licensed Professional Counselor

Alexandra Becker , BA

Case Manager/Care Coordinator

NPI 1124965090

Bachelor of Arts

Chelsea Pingley , LPC

Counselor - Mental Health

NPI 1154192367

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 15, 2022

Record deactivated on August 15, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 971 HARRISON AVE, ELKINS, WV 26241 (Tel: 3046369450)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 2756, ELKINS, WV 26241 (Tel: 3046369450)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CLINTON BENNETT, BS TLSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Case Manager/Care Coordinator (License #TL04069609 in WV)

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Initial NPI Registration & Enumeration May 30, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417158064
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2007
Last Update: July 08, 2007
Deactivation Date: August 15, 2022

Mailing Address

Po Box 2756

Elkins, WV 26241

Phone: 3046369450

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.