Healthcare Provider Details

I. General information

NPI: 1952237497
Provider Name (Legal Business Name): BENJAMIN JACOB SPIVAK MSW, RCSWI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 S CONGRESS AVE STE 401
DELRAY BEACH FL
33445-7346
US

IV. Provider business mailing address

3333 S CONGRESS AVE STE 401
DELRAY BEACH FL
33445-7346
US

V. Phone/Fax

Practice location:
  • Phone: 561-223-6484
  • Fax:
Mailing address:
  • Phone: 561-223-6484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW23386
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: