DR. CARMEN E. ELIZONDO LCSW-PSY.D
NPI 1073679619
Social Worker - Clinical in Middletown, NY

Q: What is Carmen Elizondo's NPI number?

The NPI number for Carmen Elizondo is 1073679619. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Q: What is Carmen Elizondo's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Carmen Elizondo was last updated on April 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 28, 2006

155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941(845) 703-6999(845) 703-6297 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Carmen E. Elizondo Lcsw-psy.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARMEN E. ELIZONDO LCSW-PSY.D (NPI 1073679619) is an individual clinical provider in Middletown, New York, licensed in New York (RO29929-1) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1073679619

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameDR. CARMEN E. ELIZONDOCredential: LCSW-PSY.D

Location Address155 CRYSTAL RUN RDMiddletown, NY 10941-4028

Mailing Address155 Crystal Run RdMiddletown, NY 10941-4028 · (845) 703-6999 · Fax (845) 703-6297

Phone(845) 703-6999

Fax(845) 703-6297

Sole ProprietorNo

Enumeration DateDecember 28, 2006

Last NPPES UpdateApril 4, 2016

✔ NPI 1073679619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NY · RO29929-1

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

155 CRYSTAL RUN RD, Middletown, NY 10941

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Other Identifiers 2

Medicaid020227847NY

Medicare PINA400136771NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, WellPoint.Insurance ›

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