MEDICARE: BILLY BENSON, LCSW LLC

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1740006931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BILLY BENSON, LCSW LLC

Provider Business Mailing Address
First Line	:	237 SAINT CLOUD AVE
Second Line	:
City	:	WEST ORANGE
State	:	NJ
Zip	:	07052-2523
Country	:	US
Telephone Number	:	201-463-6029
Fax Number	:

Provider Business Practice Location Address
First Line	:	70 PARK ST STE 310
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-2960
Country	:	US
Telephone Number	:	201-463-6029
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOTHERAPIST
Name	:	BILLY BENSON
Credential	:	LCSW
Telephone Number	:	201-463-6029

Provider Enumeration Date	:	12/03/2024
Last Update Date	:	04/17/2026

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