Nicole Benjamin, LCSW
Social Worker, Clinical in Jamaica, NY. Individual provider (NPI-1).
NPI number1245377951
StatusActive
Last updated in NPPESAug 25, 2023
Details
- NPI
- 1245377951
- Entity type
- Individual (NPI-1)
- Name
- Nicole Benjamin
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 31, 2007
- Certification date
- Aug 25, 2023
- Last updated
- Aug 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | RO51668-01 | NY | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | RO51668-1 | NY |
Practice location
11515 Sutphin BlvdJamaica, NY 11434-1020
Phone 718-765-6009 · Fax 347-682-4302
Mailing address
Po Box 746087Atlanta, GA 30374-6087
Phone 312-733-9730 · Fax 773-866-8014
Other practice locations
8900 Sutphin Blvd
Jamaica, NY 11435-3700
Jamaica, NY 11435-3700
Phone 347-262-6434 · Fax 781-228-2525
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