Provider Demographics
NPI:1225229495
Name:BENJAMIN, RENEE M (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:RENEE
Middle Name:M
Last Name:BENJAMIN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:544 4TH AVE
Mailing Address - Street 2:4D
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-2125
Mailing Address - Country:US
Mailing Address - Phone:201-358-0194
Mailing Address - Fax:
Practice Address - Street 1:544 4TH AVE
Practice Address - Street 2:4D
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-2125
Practice Address - Country:US
Practice Address - Phone:201-358-0194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052277001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical