Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evangeline J Benitez

Individual provider Social Worker · NPI 1265928618

Evangeline J Benitez is a Clinical Social Worker in Rego Park, New York. Qualified in 2012, 14 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2018
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9520 63rd Rd Ste J
Rego Park, NY 11374-1145
Phone: (718) 282-0010
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 102340 (NY)
Social Worker Taxonomy 104100000X · Licence 091183-1 (NY)
School Social Worker Taxonomy 1041S0200X · Licence 1172895 (NY)

Record details

NPI number1265928618
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 9, 2018
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026
Mailing address669 Main St Unit 408, New Rochelle, NY 10801-7101

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Rego Park