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BENJAMIN CLARK LMSW
NPI 1376863696
Social Worker in Medford, NY

Active since June 09, 2010
1727 N OCEAN AVE, MEDFORD, NY 11763(631) 654-1919 Get Directions Write a Review

NPPES record last updated: June 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benjamin Clark Lmsw NPPES

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

BENJAMIN CLARK LMSW (NPI 1376863696) is an individual social worker in Medford, New York, licensed in New York (078914-1) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1376863696
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameBENJAMIN CLARKCredential: LMSW
Location Address1727 N OCEAN AVEMedford, NY 11763-2649
Mailing Address121 Glenmere WayHolbrook, NY 11741-5013 · (631) 654-1919
Phone(631) 654-1919
Sole ProprietorNo
Enumeration DateJune 9, 2010
✔ NPI 1376863696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 078914-1
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1727 N OCEAN AVE, Medford, NY 11763
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Other Identifiers 1

Other078914-1NY · License

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.

COLLEEN M ROBERTS LMSW
Social Worker
1727 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 654-1919
JILLIAN GURBA KORB LCSW
Social Worker (Clinical)
1727 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 654-1919
MARTHA TORRES LCSW
Social Worker (Clinical)
1727 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 654-1919
SIBIMOL NIRAVATH PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1727 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 654-1919
REBECCA A AGOSTO
Social Worker
1727 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 578-0652
LAUREN LALCHAND
Social Worker
1727 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 654-1919
JUDY JOSEPH LMSW
Social Worker
1727 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 654-1919
VALSAMMA T KANDATHIL MD
Psychiatry & Neurology (Psychiatry)
1727 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 654-1919

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 Benjamin Clark's NPI number?

The NPI number for Benjamin Clark is 1376863696. It was assigned to this individual provider in the NPPES registry on June 9, 2010.

Where is Benjamin Clark located?

Benjamin Clark practices at 1727 N Ocean Ave, Medford, NY 11763. The listed phone number is (631) 654-1919.

What is Benjamin Clark's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Benjamin Clark was last updated on June 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.