Steven John Benjamin, LCSW

Individual provider Active NPI Clinical Social Worker · Batavia, NY

NPI 1780633461 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1780633461
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
R039718 (NY)
Practice address
389A W Main St
Batavia, NY 14020-1232
Phone
(585) 343-2396
Fax
(585) 343-2396
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 19, 2022 through Oct 19, 2026

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
R039718NYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R039718 NY Yes

Addresses

Primary practice location

389A W Main St
Batavia, NY 14020-1232

Mailing address

389A W Main St
Batavia, NY 14020-1232
Phone (585) 343-2396

Other providers in Batavia, NY

All providers in Batavia, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.