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NPI Code Detail

MEDICARE: BRACHA BENSHLOUSH LCSW

MEDICARE: BRACHA BENSHLOUSH LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker110724NY

General Provider Information

NPI Number : 1447850748
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRACHA BENSHLOUSH LCSW
Provider Business Mailing Address
First Line : 1268 E 14TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-5241
Country : US
Telephone Number : 718-787-1600
Fax Number :
Provider Business Practice Location Address
First Line : 1268 E 14TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-5241
Country : US
Telephone Number : 718-382-0045
Fax Number : 718-382-0051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2020
Last Update Date : 12/18/2025

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Directions to “ BRACHA BENSHLOUSH LCSW” Practice Location

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