Individual provider Active NPI

Yechiel Benedikt, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1609272996
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05738200 Issued in NJ
Practice address
5309 18TH Ave
Brooklyn, NY 11204-1523
Phone
(848) 223-3804
NPI assigned
Nov 13, 2014
Last updated
Jan 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 086195 NY
Clinical Social Worker 1041C0700X 44SC05738200 NJ Primary

Addresses

Primary practice location

5309 18TH Ave
Brooklyn, NY 11204-1523

Mailing address

665 Princeton Ave Apt 403
Lakewood, NJ 08701-2977
Phone (732) 942-7527

Other practice location 1

613 Hope Rd
Building 4 2nd Floor
Eatontown, NJ 07724-1278
Phone (732) 544-4544

Other practice location 2

701 Cross St
Lakewood, NJ 08701-4029
Phone (848) 223-3804

Other practice location 3

5309 18th Ave
Brooklyn, NY 11204-1523
Phone (848) 223-3804

Other practice location 4

5309 18th Ave
Brooklyn, NY 11204-1523
Phone (848) 223-3804

Other practice location 5

5309 18th Ave
Brooklyn, NY 11204-1523
Phone (848) 223-3804

Other practice location 6

1771 Madison Ave Apt 403
Lakewood, NJ 08701-1251
Phone (848) 223-3804 ext. 84822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20200303002425 NY Practitioner - Clinical Social Worker 2163761313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5309 18TH Ave
Brooklyn, NY 11204-1523
Phone (718) 705-5190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pesach Tikvah Hope Development Inc Current Accepting new patients
Pesach Tikvah Hope Development Inc CurrentSince Jan 20, 2020 Accepting new patients

Locations

365 Willoughby Ave
Ste 400
Brooklyn, NY 11205

5309 18th Ave
Brooklyn, NY 11204
Phone (718) 705-5190

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": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1609272996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 PRINCETON AVE APT 403",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012977",
            "telephone_number": "732-942-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041523",
            "telephone_number": "848-223-3804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 Hope Rd",
            "address_2": "Building 4 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Eatontown",
            "state": "NJ",
            "postal_code": "077241278",
            "country_code": "US",
            "telephone_number": "732-544-4544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Cross St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087014029",
            "country_code": "US",
            "telephone_number": "848-223-3804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5309 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112041523",
            "country_code": "US",
            "telephone_number": "848-223-3804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5309 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112041523",
            "country_code": "US",
            "telephone_number": "848-223-3804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5309 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112041523",
            "country_code": "US",
            "telephone_number": "848-223-3804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1771 Madison Ave Apt 403",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087011251",
            "country_code": "US",
            "telephone_number": "848-223-3804 x84822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENEDIKT",
        "first_name": "YECHIEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-13",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086195",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05738200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.