Individual provider Active NPI

Mia Benevolenza, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1023712288
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
21300 Ruth and Baron Coleman Blvd
Boca Raton, FL 33428-1757
Phone
(561) 852-3333
NPI assigned
Mar 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

21300 Ruth and Baron Coleman Blvd
Boca Raton, FL 33428-1757

Mailing address

21300 Ruth and Baron Coleman Blvd
Boca Raton, FL 33428-1757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230509002801 FL Practitioner - Clinical Social Worker 4284090606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ruth and Norman Rales Jewish Family Services IncGroup PAC ID 4183526221, 12 clinicians

Practice addresses (Care Compare)

7091 W Atlantic Blvd
Delray Beach, FL 33446-1601
Phone (561) 852-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ruth & Norman Rales Jewish Family Services Inc Clinical CurrentSince Mar 21, 2023 Accepting new patients
Toby and Leon Cooperman Therapy and Family Resource Center CurrentSince Mar 21, 2023 Accepting new patients

Locations

21300 Ruth and Baron Coleman Blvd
Boca Raton, FL 33428
Phone (561) 852-3333

7091 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 558-2149

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1023712288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21300 RUTH AND BARON COLEMAN BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 RUTH AND BARON COLEMAN BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281757",
            "telephone_number": "561-852-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEVOLENZA",
        "first_name": "MIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.