Avi Benmordechai, Lcsw
Counselor, Mental Health in Woodmere, NY. Individual provider (NPI-1).
NPI number1982140562
StatusActive
Last updated in NPPESJul 25, 2023
Details
- NPI
- 1982140562
- Entity type
- Individual (NPI-1)
- Name
- Avi Benmordechai
- Credential
- Lcsw
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 6, 2017
- Certification date
- Jul 25, 2023
- Last updated
- Jul 25, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 098577 | NY | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
839 Oliver StWoodmere, NY 11598-2319
Phone 646-824-7979 · Fax 718-693-3915
Mailing address
839 Oliver StWoodmere, NY 11598-2319
Phone 646-824-7979 · Fax 718-693-3915
Is something wrong?
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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All 17 Mental Health Counselor providers in Woodmere · All 849 providers in Woodmere
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