Individual provider · Type 1 NPI

Evangeline J. Benitez

Clinical Social Worker · Rego Park, NY

NPI number 1265928618 Active

Practice location

9520 63rd Rd Ste J
Rego Park, NY 11374-1145

Mailing address

669 Main St Unit 408
New Rochelle, NY 10801-7101

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X091183-1 (NY)
School Social Worker 1041S0200X1172895 (NY)
Clinical Social Worker Primary 1041C0700X102340 (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 1265928618

Evangeline J. Benitez's National Provider Identifier is 1265928618, issued on Jul 9, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rego Park, NY. The record was last updated on Mar 6, 2026.