Nellie E Liciaga, LCSW, M-CASAC in Rego Park, NY - Medicare Clinical Social Worker Provider

Nellie E Liciaga, LCSW, M-CASAC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Rego Park, New York. She went to Fordham University School Of Medicine and graduated in 2012 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Long Island Consultation Center Inc and her current practice location is 9729 64th Rd, Rego Park, New York. You can reach out to her office (for appointments etc.) via phone at (718) 896-3400.

Nellie E Liciaga is licensed to practice in New York (license number 12366) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437326253.

Contact Information

	Nellie E Liciaga, LCSW, M-CASAC
	9729 64th Rd, Rego Park, NY 11374-2259
	(718) 896-3400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nellie E Liciaga
Gender	Female
Speciality	Clinical Social Worker
Experience	14 Years
Location	9729 64th Rd, Rego Park, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nellie E Liciaga attended and graduated from Fordham University School Of Medicine in 2012

NPI Data:

NPI Number: 1437326253
Provider Enumeration Date: 05/12/2008
Last Update Date: 02/10/2026

Medicare PECOS Information:

PECOS PAC ID: 5294101051
Enrollment ID: I20221019001063

Medical Identifiers

Medical identifiers for Nellie E Liciaga such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437326253	NPI	-	NPPES
00244019	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	12366 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Long Island Consultation Center Inc	8729068622	21

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nellie E Liciaga allows following entities to bill medicare on her behalf.

Entity Name	Long Island Consultation Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295878577 PECOS PAC ID: 8729068622 Enrollment ID: O20040721001568

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nellie E Liciaga is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nellie E Liciaga, LCSW, M-CASAC 520 E 142nd St Apt 4a, Bronx, NY 10454-2156 Ph: (347) 256-8205	Nellie E Liciaga, LCSW, M-CASAC 9729 64th Rd, Rego Park, NY 11374-2259 Ph: (718) 896-3400

Reviews and Comments

Counselor in Rego Park, NY

Ms. Genolyn Lucille Laylor, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6355 102nd St, Rego Park, NY 11374 Phone: 718-830-4910
Crystal A John, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 9729 64th Rd, Rego Park, NY 11374 Phone: 718-896-3400 Fax: 718-459-5621
Ms. Autumn Rain Randall, MHC-LP Counselor Medicare: Not Enrolled in Medicare Practice Location: 6336 99th St, Rego Park, NY 11374 Phone: 718-459-2558 Fax: 718-770-7676
Mrs. Esfira Akilova, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6336 99th St, Rego Park, NY 11374 Phone: 718-459-2558
Jesmile Arvelaez-stagi, MHC-LP Counselor Medicare: Not Enrolled in Medicare Practice Location: 6336 99th St, Rego Park, NY 11374 Phone: 718-459-2558
Marta Lapinska, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 98120 Queens Blvd, Rego Park, NY 11374 Phone: 718-830-0246
Hawa Umu Jalloh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 98120 Queens Blvd Ste 1c, Rego Park, NY 11374 Phone: 914-318-4686

Nellie E Liciaga, LCSW, M-CASAC - Medicare Counselor in Rego Park, NY