Avi Benmordechai, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

098577 Issued in NY

Practice address

839 Oliver St
Woodmere, NY 11598-2319

Phone

(646) 824-7979

Fax

(718) 693-3915

NPI assigned

Jan 6, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1982140562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 OLIVER ST",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982319",
            "telephone_number": "646-824-7979",
            "fax_number": "718-693-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 OLIVER ST",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982319",
            "telephone_number": "646-824-7979",
            "fax_number": "718-693-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENMORDECHAI",
        "first_name": "AVI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-06",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "098577",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patience Bear
• Mark P Bell, D.P.M.
• Marie Christine Beltran, RN
• Pesha Ben-Ami
• Julia Ben-Jacob, PA-C
• Jasmine Bentley
• Leora Beth Berkowitz, OTR/L
• Neil David Berman, DDS
• Henry Bernstein, DMD
• Mark Allan Bernstein, PSYCHOANALYST

• All providers in Woodmere, NY
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.