Active NPI
Benjamin Moffitt Cecil, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1619645306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 091232
- Practice address
- 650 Humboldt St Apt 2
Brooklyn, NY 11222-4103 - Phone
- (917) 273-1987
- NPI assigned
- Aug 30, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 091232 | NY | Primary |
Addresses
Primary practice location
650 Humboldt St Apt 2
Brooklyn, NY 11222-4103
Mailing address
650 Humboldt St Apt 2
Brooklyn, NY 11222-4103
Phone (917) 273-1987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 091232 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1619645306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 HUMBOLDT ST APT 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112224103",
"telephone_number": "917-273-1987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 HUMBOLDT ST APT 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112224103",
"telephone_number": "917-273-1987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CECIL",
"first_name": "BENJAMIN",
"middle_name": "MOFFITT",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-30",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "091232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.