EVANGELINE J BENITEZ
NPI 1265928618
Social Worker - Clinical in Rego Park, NY

Active since July 09, 2018PECOS Enrolled
9520 63RD RD STE J, REGO PARK, NY 11374(718) 282-0010 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2026, Jul 22, 2023, May 5, 2023 and 2 more (5 updates tracked since 2018).

About Evangeline J Benitez NPPES

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

EVANGELINE J BENITEZ (NPI 1265928618) is an individual clinical provider in Rego Park, New York, licensed in New York (102340) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1265928618
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEVANGELINE J BENITEZ
Location Address9520 63RD RD STE JRego Park, NY 11374-1145
Mailing Address669 Main St Unit 408New Rochelle, NY 10801-7101 · (929) 701-6676
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 9, 2018
Last NPPES UpdateMarch 6, 20265 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
NPI 1265928618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · 102340
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 ListedSocial WorkerTaxonomy 104100000X · License 091183-1 (NY)
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X · License 1172895 (NY)
9520 63RD RD STE J, Rego Park, NY 11374

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Evangeline J Benitez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931670841
PECOS Enrollment IDI20260602001015
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11374 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 3

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

Social Worker (Clinical)
9520 63RD RD STE J
REGO PARK, NY 11374
Psychiatry & Neurology (Psychiatry)
9520 63RD RD STE J
REGO PARK, NY 11374
Home Health
9520 63RD RD STE J
REGO PARK, NY 11374

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 Evangeline Benitez's NPI number?

The NPI number for Evangeline Benitez is 1265928618. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Where is Evangeline Benitez located?

Evangeline Benitez practices at 9520 63rd Rd Ste J, Rego Park, NY 11374. The listed phone number is (718) 282-0010.

What is Evangeline Benitez's specialty?

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

Is Evangeline Benitez enrolled in Medicare?

Yes. Evangeline Benitez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Evangeline Benitez was last updated on March 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.