IndividualActive
Aja Riley Bennett, MSW, LCSW
NPI 1053088294 · Clinical Social Worker · Beaverton, OR
Provider details
- NPI number
- 1053088294
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- L10837 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
15270 Sw Mallard Dr Ste 101
Beaverton, OR 97007-9432
Phone: (214) 454-1447
Approximate (ZIP-level) locationGet directions
Mailing address
15270 Sw Mallard Dr Ste 101
Beaverton, OR 97007-9432
Registry dates
- Enumerated
- 2021-08-25
- Last updated
- 2022-01-11
- Certified
- 2022-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.