Individual provider Active NPI

Benjamin David Klebanoff, LMSW

  • Social Worker
  • New Rochelle, NY
National Provider Identifier
1891656849
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
128956 Issued in NY
Practice address
481 Main St Ste 401
New Rochelle, NY 10801-6360
Phone
(914) 355-2440
NPI assigned
Nov 19, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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 128956 NY Primary

Addresses

Primary practice location

481 Main St Ste 401
New Rochelle, NY 10801-6360

Mailing address

481 Main St Ste 401
New Rochelle, NY 10801-6360
Phone (914) 355-2440

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

LicenseStateTypeSpecialty
128956NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1891656849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 MAIN ST STE 401",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016360",
            "telephone_number": "914-355-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 MAIN ST STE 401",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016360",
            "telephone_number": "914-355-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEBANOFF",
        "first_name": "BENJAMIN",
        "middle_name": "DAVID",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "128956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.