Opus Therapy LCSW, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

OPUS THERAPY LCSW, PC

Practice address

3515 75TH St Apt 208
Jackson HTS, NY 11372-4427

Phone

(917) 837-9194

NPI assigned

Nov 8, 2020

Organization subpart

No

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

Authorized official

Name

Samantha Bennahum, LCSWNPI 1770190407

Title

Ceo/Sole Share Holder

Phone

(917) 837-9194

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Bennahum, LCSW

  • Clinical Social Worker
  • Jackson HTS, NY
  • NPI 1770190407
  NPD Authorized official

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

{
    "created_epoch": "1604793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604793600000",
    "number": "1770184459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 75TH ST APT 208",
            "city": "JACKSON HTS",
            "state": "NY",
            "postal_code": "113724427",
            "telephone_number": "917-837-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 75TH ST APT 208",
            "city": "JACKSON HTS",
            "state": "NY",
            "postal_code": "113724427",
            "telephone_number": "917-837-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPUS THERAPY LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-08",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-08",
        "status": "A",
        "authorized_official_last_name": "BENNAHUM",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CEO/SOLE SHARE HOLDER",
        "authorized_official_telephone_number": "917-837-9194",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids Care Dental PLLC
• Legacy Medical PLLC
• Richard Steven Levine, DDS
• Thiri Myint, MD
• Maritza Nunez, DDS
• Eduardo Jorge Pallanza, LMHC
• Kirpal Candy Panilag, PT
• Susan Perez, LPN
• Queens County Neuropsychiatric Institute Inc.
• Adam Lloyd Reynolds, LMSW, CASAC

• Clinical Social Worker in Jackson HTS, NY
• Providers in Jackson HTS, 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 Nov 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.