Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mark Barry Bennett, LMSW

Individual provider Social Worker · NPI 1306273784

Mr. Mark Barry Bennett, LMSW is a Clinical Social Worker in Idaho Falls, Idaho. Qualified in 2010, 16 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
16
Licensed in
ID
In the registry since
2013
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

2275 W Broadway St Ste G
Idaho Falls, ID 83402-2902 Not confirmed with CMS for 12 years — call before visiting
Phone: (208) 524-7400
Fax: (208) 524-8004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LMSW-31056 (ID)

Record details

NPI number1306273784
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorYes
NPI enumeratedOctober 1, 2013
Last updated in NPPESOctober 1, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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