Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376863696 Individual Practitioner Male Practitioner

Benjamin Clark , LMSW

Social Worker • Medford, NY

Professional Overview & Biography Verified Profile Summary

Benjamin Clark, LMSW is a registered healthcare professional specializing in Social Worker in Medford, NY. Practice services are available at 1727 N OCEAN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1727 N Ocean Ave

Medford, NY 117632649

Telephone 6316541919
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Medford, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.4 Yrs
State Avg: 20.1 Yrs
Regional Practice Density
50 Specialists

Practicing in Medford, NY (23970 Statewide)

Telehealth Adoption Rate
4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License NY 078914-1

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
078914-1 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
NPI 1003496159

Licensed Master Social Worker

Darlene Shervington , LCSW

Social Worker - Clinical

NPI 1043331416

Licensed Clinical Social Worker

Jillian Gurba Korb , LCSW

Social Worker - Clinical

NPI 1164091591

Licensed Clinical Social Worker

Martha Torres , LCSW

Social Worker - Clinical

NPI 1164543435

Licensed Clinical Social Worker

Lucy Allison

Counselor - Mental Health

NPI 1205950847
Sibimol Niravath , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1235956095

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 09, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location June 09, 2010

Registered at 1727 N OCEAN AVE, MEDFORD, NY 117632649 (Tel: 6316541919)

📍
Updated Business Mailing Address June 09, 2010

Registered at 121 GLENMERE WAY, HOLBROOK, NY 117415013 (Tel: 6316541919)

👤
Provider Name / Credentials Updated June 09, 2010

Recorded as BENJAMIN CLARK, LMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2010

Social Worker (License #078914-1 in NY)

🟢
Initial NPI Registration & Enumeration June 09, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376863696
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2010
Last Update: June 09, 2010
Sole Proprietor: No

Mailing Address

121 Glenmere Way

Holbrook, NY 117415013

Phone: 6316541919

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.