Individual provider Active NPI

Lorena Benavides Lazo, LCSW

  • Clinical Social Worker
  • Garfield, NJ
National Provider Identifier
1407537277
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06179600 Issued in NJ
Practice address
384 River Dr
Garfield, NJ 07026-3327
Phone
(201) 424-2740
NPI assigned
Jul 26, 2023
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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 44SC06179600 NJ Primary

Addresses

Primary practice location

384 River Dr
Garfield, NJ 07026-3327

Mailing address

384 River Dr
Garfield, NJ 07026-3327
Phone (201) 424-2740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20230821000047 NJ Practitioner - Clinical Social Worker 9537521786 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06179600NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
JLS Medical PC CurrentSince Oct 7, 2025 Accepting new patients
Bancroft, a New Jersey Nonprofit Corporation PastSince Oct 7, 2025 Accepting new patients

Locations

550 Broad St
Ste 606
Newark, NJ 07102
Phone (425) 458-8525

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1407537277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 RIVER DR",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070263327",
            "telephone_number": "201-424-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 RIVER DR",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070263327",
            "telephone_number": "201-424-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDES LAZO",
        "first_name": "LORENA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06179600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield, NJ

Sources for this page

Verify at the official NPI Registry.