Provider Demographics
NPI:1700436110
Name:BENJAMIN, SUNYANA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SUNYANA
Middle Name:
Last Name:BENJAMIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 MAIN ST # 311
Mailing Address - Street 2:
Mailing Address - City:HARTLY
Mailing Address - State:DE
Mailing Address - Zip Code:19953-4001
Mailing Address - Country:US
Mailing Address - Phone:302-359-3629
Mailing Address - Fax:
Practice Address - Street 1:211 MAIN ST # 311
Practice Address - Street 2:
Practice Address - City:HARTLY
Practice Address - State:DE
Practice Address - Zip Code:19953-4004
Practice Address - Country:US
Practice Address - Phone:302-359-3629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-17
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
DE1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker