Provider Demographics
NPI:1205365160
Name:BENENSON, KAREN LEE (LCSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:LEE
Last Name:BENENSON
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 1:31 COBBLESTONE TER
Mailing Address - Street 2:
Mailing Address - City:MONTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07045-9490
Mailing Address - Country:US
Mailing Address - Phone:973-650-1832
Mailing Address - Fax:
Practice Address - Street 1:333 BLOOMFIELD AVE STE 201
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-5167
Practice Address - Country:US
Practice Address - Phone:973-650-1832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-05
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC057496001041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical