Individual provider Active NPI

Lisa Alexandra Benson, LMSW

  • Social Worker
  • Saranac Lake, NY
National Provider Identifier
1710466511
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
097569 Issued in NY
Practice address
70 Edgewood Rd
Saranac Lake, NY 12983-1537
Phone
(518) 891-5535
NPI assigned
Aug 13, 2018
Last updated
Aug 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 097569 NY Primary

Addresses

Primary practice location

70 Edgewood Rd
Saranac Lake, NY 12983-1537

Mailing address

369 Forest Hill Ave
Saranac Lake, NY 12983-1992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097569NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Children's Health Physicians, LLP CurrentSince Mar 1, 2025 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Mar 1, 2025 Accepting new patients
Citizen Advocates, Inc PastSince Feb 21, 2005 Accepting new patients

Locations

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

222 Route 59
Ste 303
Suffern, NY 10901
Phone (845) 368-0422

400 Columbus Ave
Ste 200E
Valhalla, NY 10595
Phone (914) 490-0401

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1710466511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 FOREST HILL AVE",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129831992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 EDGEWOOD RD",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129831537",
            "telephone_number": "518-891-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "LISA",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "097569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saranac Lake, NY

Sources for this page

Verify at the official NPI Registry.