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

Nicole Benjamin, LCSW

Individual provider Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1245377951

Nicole Benjamin, LCSW is a Clinical Social Worker in Jamaica, New York. Qualified in 1995, 31 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
31
Licensed in
NY
In the registry since
2007
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

11515 Sutphin Blvd
Jamaica, NY 11434-1020
Phone: (718) 765-6009
Fax: (347) 682-4302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8900 Sutphin Blvd, Jamaica, NY 11435-3700 — (347) 262-6434

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence RO51668-01 (NY)
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X · Licence RO51668-1 (NY)

Record details

NPI number1245377951
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 31, 2007
Last updated in NPPESAugust 25, 2023
Certification dateAugust 25, 2023
Mailing addressPo Box 746087, Atlanta, GA 30374-6087

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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