Benjamin Malkin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

096749 Issued in NY

Practice address

1784 Echo PL
Merrick, NY 11566-4910

Phone

(516) 406-8917

NPI assigned

Jan 19, 2021

Sex

Male

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": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1336739994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1784 ECHO PL",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664910",
            "telephone_number": "516-406-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1784 ECHO PL",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664910",
            "telephone_number": "516-406-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKIN",
        "first_name": "BENJAMIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-19",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helene M Mair, PH.D.
• Sunny Makhijani
• Stella Maksumova, RPH
• Marcia Malis, PT
• Samantha Malis, LCSW
• Danielle Christina Malkusz-Lewis, PH.D.
• Pavlos Malonoukos, DMD
• Christine Mammaro, NP
• Rosamaria Mammoliti-Woodiwiss, SLP
• Andrea F Mandelberger

• Clinical Social Worker in Merrick, NY
• Providers in Merrick, 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 Jan 8, 2024; 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.