Justin Benson, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

081923 Issued in NY

Practice address

795 Terry Rd
Hauppauge, NY 11788-3426

Phone

(631) 487-2844

NPI assigned

Jan 13, 2014

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

Opted out of Medicare

Yes, effective Sep 20, 2024 through Sep 20, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Positive Minds Therapy LCSW P.C.

  • Clinical Social Worker
  • Patchogue, NY
  • NPI 1497454334
  NPD Authorized official

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1396167250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 TERRY RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883426",
            "telephone_number": "631-487-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 TERRY RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883426",
            "telephone_number": "631-487-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "JUSTIN",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-13",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayada Home Health Care, Inc.
• Shaquile Beckford
• Katrina Nicole Bell, DDS
• Jessica Belle
• David Belser, PH.D.
• Michelle Bentivegna
• Daphnee Bercy
• John Bergaglio IV
• Theresa Bergen
• Mishalle Berger

• Clinical Social Worker in Hauppauge, NY
• Providers in Hauppauge, 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 May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.