Lisa Benjamin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R034230 Issued in NY

Practice address

111 John St RM 2400
New York, NY 10038-3013

Phone

(646) 740-1510

NPI assigned

Jan 8, 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

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1164570289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 JOHN ST RM 2400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100383013",
            "telephone_number": "646-740-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 JOHN ST RM 2400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100383013",
            "telephone_number": "646-740-1510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 W 58th St Ste 506",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100191819",
            "country_code": "US",
            "telephone_number": "646-740-1510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R034230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charis Benjamin
• Danielle Benjamin
• Ernest Benjamin, MD
• Jessica R Benjamin, PH.D.
• Linda Theresa Benjamin, PHYSICIAN ASSISTANT
• Malaica Analyn Benjamin
• Naomi Benjamin, MSW, CASAC-T
• Rachael Evans Benjamin, LCSW
• Richard W Benjamin
• Ron Benjamin, D.O.

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Apr 2, 2018; 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.