Provider Demographics
NPI:1730952052
Name:BENNETT, ADREAM (LCSW)
Entity type:Individual
Prefix:
First Name:ADREAM
Middle Name:
Last Name:BENNETT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2852 REMINGTON GREEN CIR STE 203
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-1507
Mailing Address - Country:US
Mailing Address - Phone:850-749-2313
Mailing Address - Fax:
Practice Address - Street 1:2852 REMINGTON GREEN CIR STE 203
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-1507
Practice Address - Country:US
Practice Address - Phone:850-749-2313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-30
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW215481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical