NICOLE BENJAMIN LCSW
NPI 1245377951
Social Worker - Clinical in Jamaica, NY

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment
11515 SUTPHIN BLVD, JAMAICA, NY 11434(718) 765-6009(347) 682-4302 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 25, 2023, Jan 29, 2021, Jan 7, 2021 (3 updates tracked since 2021).

About Nicole Benjamin Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE BENJAMIN LCSW (NPI 1245377951) is an individual clinical provider in Jamaica, New York, licensed in New York (RO51668-01) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jamaica, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1245377951
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE BENJAMINCredential: LCSW
Location Address11515 SUTPHIN BLVDJamaica, NY 11434-1020
Mailing AddressPo Box 746087Atlanta, GA 30374-6087 · (312) 733-9730 · Fax (773) 866-8014
Fax(347) 682-4302
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 31, 2007
Last NPPES UpdateAugust 25, 20233 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1245377951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · RO51668-01
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X · License RO51668-1 (NY)
11515 SUTPHIN BLVD, Jamaica, NY 11434

Secondary Practice Location 1

Location 18900 Sutphin BlvdJamaica, NY 11435-3700 · Phone (347) 262-6434 · Fax (781) 228-2525

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Benjamin Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466499397
PECOS Enrollment IDI20050412001517
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Nicole Benjamin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
8900 SUTPHIN BLVD STE 308G
Jamaica, NY 11435
  • Reassigned Medicare billing, New York enrollment
Clinical
9520 63RD RD, SUITE J
Rego Park, NY 11374
  • Reassigned Medicare billing, New York enrollment
  • 32 clinicians in this Medicare group
Psychologist
201 S BISCAYNE BLVD STE 2867
Miami, FL 33131
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Sailor Health Medical Of New York PC
  • 35 clinicians in this Medicare group
Psychologist
2332 GALIANO ST FL 2
Coral Gables, FL 33134
  • Reassigned Medicare billing, Connecticut enrollment
  • 14 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11434 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.00 – $201.98
Typical copayment $0.00 (range $16.75 – $50.49)
Most-billed visit code NA
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
11515 SUTPHIN BLVD
JAMAICA, NY 11434
Social Worker
11515 SUTPHIN BLVD
JAMAICA, NY 11434
Social Worker (Clinical)
11515 SUTPHIN BLVD
JAMAICA, NY 11434
Social Worker (Clinical)
11515 SUTPHIN BLVD
JAMAICA, NY 11434
Social Worker (Clinical)
11515 SUTPHIN BLVD
JAMAICA, NY 11434
Social Worker (Clinical)
11515 SUTPHIN BLVD
JAMAICA, NY 11434
Social Worker (Clinical)
11515 SUTPHIN BLVD
JAMAICA, NY 11434
Social Worker (Clinical)
11515 SUTPHIN BLVD
JAMAICA, NY 11434

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Benjamin's NPI number?

The NPI number for Nicole Benjamin is 1245377951. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Nicole Benjamin located?

Nicole Benjamin practices at 11515 Sutphin Blvd, Jamaica, NY 11434. The listed phone number is (718) 765-6009.

What is Nicole Benjamin's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Nicole Benjamin enrolled in Medicare?

Yes. Nicole Benjamin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicole Benjamin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Benjamin reassigns Medicare benefits to 4 organizations: Resolution Counseling Services Lcsw PLLC (Jamaica, NY), Queens Psychotherapy Lcsw Services P.C. (Rego Park, NY), Sailor Health Medical Of New York, P.C. (Miami, FL) and Sailor Health Medical PA (Coral Gables, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Benjamin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Benjamin accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas and Oscar Health list Nicole Benjamin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Benjamin was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.