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

Individual provider Clinical Social Worker · NPI 1962979260

Holly Bender, LCSW is a Clinical Social Worker in Gouverneur, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1580 US Highway 11
Gouverneur, NY 13642-3425
Phone: (315) 415-1894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 090627 (NY)
Social Worker Taxonomy 104100000X · Licence 101681 (NY)

Record details

NPI number1962979260
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 25, 2018
Last updated in NPPESAugust 21, 2023
Certification dateMarch 8, 2021
Mailing address1580 Us Hwy 11, Gouverneur, NY 13642-3425

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