Betty Gae Benjamin, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R049192-1 Issued in NY

Practice address

13 Park Ave
Summit Hills
New City, NY 10956-1107

Phone

(845) 354-8847

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073647285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 PARK AVE",
            "address_2": "SUMMIT HILLS",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561107",
            "telephone_number": "845-354-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 PARK AVE",
            "address_2": "SUMMIT HILLS",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561107",
            "telephone_number": "845-354-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "BETTY",
        "middle_name": "GAE",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R049192-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P575338",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P836234",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shimeon R Bellis, LCSW
• Kim Beltran
• Ester Ben-Dov, LMHC
• Christina Benecke, D.C.
• Mark Benisz, PSY.D.
• Seth Adam Benkel, M.D.
• Linda Benoit
• Elena Ramona Berevoescu, RN
• Sandra M Berg
• Agnesa Berisha

• Clinical Social Worker in New City, NY
• Providers in New City, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.