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

Jacqueline Boenisch, LCSW

Individual provider Social Worker · NPI 1508519216

Jacqueline Boenisch, LCSW is a Social Worker in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022
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

484 Rockaway Ave Fl 2
Brooklyn, NY 11212-5636
Phone: (347) 271-0803
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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 097459 (NY)
Social Worker Taxonomy 104100000X · Licence 101975 (NY)

Record details

NPI number1508519216
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 2, 2022
Last updated in NPPESJuly 27, 2024
Certification dateJuly 27, 2024

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