Evangeline J. Benitez
NPI 1265928618ActiveIndividual· Social Worker, Clinical· Rego Park, NY
Social Worker, Clinical in Rego Park, New York, licensed in NY, with an NPI issued in July 2018. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1265928618 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jul 9, 2018 |
| Last updated in NPPES | Mar 6, 2026 |
| Certified by provider | Mar 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 102340 | NY |
| Social Worker | 104100000X | 091183-1 | NY |
| Social Worker, School | 1041S0200X | 1172895 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NY) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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All 132 clinical social workers in Rego Park · All clinical social workers in New York