Individual provider · Type 1 NPI

Jacqueline Benjamin

Clinical Social Worker · Staten Island, NY

NPI number 1003728957 Active

Practice location

4456 Amboy Rd
Staten Island, NY 10312-3897

Call (718) 967-0490 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X131981 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003728957

Jacqueline Benjamin's National Provider Identifier is 1003728957, issued on Sep 17, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Staten Island, NY. The record was last updated on Sep 17, 2026.