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BENJAMIN MCCORMACK LCSW
NPI 1629587266
Social Worker - Clinical in Ballston Lake, NY

Active since September 27, 2017PECOS Enrolled
4 WYNDON RD, BALLSTON LAKE, NY 12019(518) 952-9206 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 14, 2021, Apr 18, 2021, Jan 23, 2020 (3 updates tracked since 2020).

About Benjamin Mccormack Lcsw NPPES

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

BENJAMIN MCCORMACK LCSW (NPI 1629587266) is an individual clinical provider in Ballston Lake, New York, licensed in New York (089257) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629587266
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBENJAMIN MCCORMACKCredential: LCSW
Location Address4 WYNDON RDBallston Lake, NY 12019-2527
Mailing Address4 Wyndon RdBallston Lake, NY 12019-2527
Phone(518) 952-9206
Sole ProprietorNo
Enumeration DateSeptember 27, 2017
Last NPPES UpdateDecember 14, 20213 updates tracked since enumeration
NPPES CertifiedDecember 14, 2021
✔ NPI 1629587266 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 · 089257
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 098010 (NY)
4 WYNDON RD, Ballston Lake, NY 12019
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Mccormack Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Benjamin Mccormack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ellis Hospital
5.8 mi
General Acute Care Hospital
1101 NOTT ST
Schenectady, NY 12308
  • Reassigned Medicare billing, New York enrollment
  • 462 clinicians in this Medicare group
NPI 1487644993 (518) 243-4000

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 12019 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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 Mccormack's NPI number?

The NPI number for Benjamin Mccormack is 1629587266. It was assigned to this individual provider in the NPPES registry on September 27, 2017.

Where is Benjamin Mccormack located?

Benjamin Mccormack practices at 4 Wyndon Rd, Ballston Lake, NY 12019. The listed phone number is (518) 952-9206.

What is Benjamin Mccormack's specialty?

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

Is Benjamin Mccormack enrolled in Medicare?

Yes. Benjamin Mccormack is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Benjamin Mccormack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Mccormack reassigns Medicare benefits to Ellis Hospital (Schenectady, NY). The 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 Benjamin Mccormack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Benjamin Mccormack was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.