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JUSTIN BENSON LCSW-R
NPI 1396167250
Social Worker - Clinical in Hauppauge, NY

Active since January 13, 2014Opted out of Medicare · through Sep 20, 2026
795 TERRY RD, HAUPPAUGE, NY 11788(631) 487-2844 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2026, Mar 6, 2024, Feb 28, 2023 (3 updates tracked since 2023).

About Justin Benson Lcsw-r NPPES

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

JUSTIN BENSON LCSW-R (NPI 1396167250) is an individual clinical provider in Hauppauge, New York, licensed in New York (081923) and active in the NPI registry since January 2014. He has opted out of Medicare through September 20, 2026.

NPPES Registry Identity

NPI1396167250
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJUSTIN BENSONCredential: LCSW-R
Location Address795 TERRY RDHauppauge, NY 11788-3426
Mailing Address795 Terry RdHauppauge, NY 11788-3426 · (631) 487-2844
Phone(631) 487-2844
Sole ProprietorYes
Enumeration DateJanuary 13, 2014
Last NPPES UpdateMay 20, 20263 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1396167250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 081923
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.
795 TERRY RD, Hauppauge, NY 11788
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Justin Benson Lcsw-r has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 20, 2024 through September 20, 2026.

Opt-Out Effective DateSeptember 20, 2024
Opt-Out In Effect ThroughSeptember 20, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Justin Benson's NPI number?

The NPI number for Justin Benson is 1396167250. It was assigned to this individual provider in the NPPES registry on January 13, 2014.

Where is Justin Benson located?

Justin Benson practices at 795 Terry Rd, Hauppauge, NY 11788. The listed phone number is (631) 487-2844.

What is Justin Benson's specialty?

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

Is Justin Benson enrolled in Medicare?

No. Justin Benson has opted out of Medicare through September 20, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Justin Benson was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.