Jennifer Lyn Bordonaro-Benson, LCSW
Social Worker, Clinical in Baldwinsville, NY. Individual provider (NPI-1).
NPI number1487723045
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1487723045
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer Lyn Bordonaro-Benson
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2006
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 071304-1 | NY | Yes |
Other names
- Jennifer Lyn Bordonaro (Former Name)
Practice location
3070 Belgium RdBaldwinsville, NY 13027
Phone 315-253-8401
Mailing address
6760 Minoa Bridgeport RdEast Syracuse, NY 13057-9424
Phone 315-857-5256
Other practice locations
620 Madison St
Syracuse, NY 13210-2319
Syracuse, NY 13210-2319
Phone 315-426-3600 · Fax 315-426-3600
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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