Individual provider Active NPI

Andrew Philip Benjamin, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1912655879
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW19543 Issued in FL
Practice address
7200 Camino Real Ste 201
Boca Raton, FL 33433-5511
Phone
(561) 674-0885
Fax
(561) 674-0856
NPI assigned
Mar 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW19543 FL Primary

Addresses

Primary practice location

7200 Camino Real Ste 201
Boca Raton, FL 33433-5511

Mailing address

1400 E Oakland Park Blvd Ste 210
Oakland Park, FL 33334-4400
Phone (954) 561-6222

Other practice location 1

5901 SW 74th St Ste 408
South Miami, FL 33143-5164
Phone (305) 735-3555

Other practice location 2

7369 Sheridan St Ste 101
Hollywood, FL 33024-2776
Phone (954) 561-6222

Other practice location 3

1400 E Oakland Park Blvd Ste 210
Oakland Park, FL 33334-4400
Phone (954) 561-6222

Other practice location 4

9685 Lake Nona Village Pl Ste 103
Orlando, FL 32827-7321
Phone (407) 557-8160

Other identifiers 1

IdentifierTypeStateIssuer
113625700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220315001762 FL Practitioner - Clinical Social Worker 6901291764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ventre Medical Associates LLCGroup PAC ID 5496931586, 72 clinicians

Practice addresses (Care Compare)

7200 Camino Real
Suite 201
Boca Raton, FL 33433-5511
Phone (561) 674-0885

Merit-based Incentive Payment System (MIPS)

Final score
52.48 of 100Reported as group
Quality
9.18
Improvement activities
40
Cost
76.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW19543FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ventre Medical Associates LLC Clinical CurrentSince Mar 10, 2022 Accepting new patients
Ventre Medical Associates LLC Clinical CurrentSince Mar 10, 2022 Accepting new patients
Ventre Medical Associates, LLC Clinical PastSince Aug 1, 2021 Accepting new patients

Locations

7200 Camino Real
Ste 201
Boca Raton, FL 33433
Phone (561) 674-0885

7369 Sheridan St
Ste 101
Hollywood, FL 33024
Phone (954) 562-6222

7261 Sheridan St
Ste 340
Hollywood, FL 33024

1400 E Oakland Park Blvd
Ste 210
Oakland Park, FL 33334
Phone 9545616222111

9685 Lake Nona Village Pl
Ste 103
Orlando, FL 32827
Phone (407) 557-8160

5901 SW 74th St
Ste 408
South Miami, FL 33143
Phone (305) 735-3555

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1912655879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E OAKLAND PARK BLVD STE 210",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344400",
            "telephone_number": "954-561-6222",
            "fax_number": "954-990-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 CAMINO REAL STE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335511",
            "telephone_number": "561-674-0885",
            "fax_number": "561-674-0856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 SW 74th St Ste 408",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331435164",
            "country_code": "US",
            "telephone_number": "305-735-3555",
            "fax_number": "954-990-7650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7369 Sheridan St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330242776",
            "country_code": "US",
            "telephone_number": "954-561-6222",
            "fax_number": "954-990-7650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E Oakland Park Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Oakland Park",
            "state": "FL",
            "postal_code": "333344400",
            "country_code": "US",
            "telephone_number": "954-561-6222",
            "fax_number": "954-990-7650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9685 Lake Nona Village Pl Ste 103",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277321",
            "country_code": "US",
            "telephone_number": "407-557-8160",
            "fax_number": "407-557-8159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "ANDREW",
        "middle_name": "PHILIP",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-10",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113625700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.