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ELISSA DONNER-GUZMAN LCSW-R
NPI 1093070872
Social Worker - Clinical in Staten Island, NY

Active since July 09, 2012PECOS EnrolledAccepts Medicare Assignment
12 JEFFERSON BLVD STE 2, STATEN ISLAND, NY 10312(718) 966-0317(917) 791-8248 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2024, Jan 10, 2018 (2 updates tracked since 2018).

About Elissa Donner-guzman Lcsw-r NPPES

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

ELISSA DONNER-GUZMAN LCSW-R (NPI 1093070872) is an individual clinical provider in Staten Island, New York, licensed in New York (73-079574) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1093070872
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELISSA DONNER-GUZMANCredential: LCSW-R
Location Address12 JEFFERSON BLVD STE 2Staten Island, NY 10312-3330
Mailing Address12 Jefferson BlvdStaten Island, NY 10312-3300 · (718) 966-0317 · Fax (917) 791-8248
Phone(718) 966-0317
Fax(917) 791-8248
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 9, 2012
Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1093070872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 73-079574
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 19339 (NY)
12 JEFFERSON BLVD STE 2, Staten Island, NY 10312
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elissa Donner-guzman Lcsw-r is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234358938
PECOS Enrollment IDI20140911000628
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Elissa Donner-guzman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mindful Therapy Solutions Lcsw PLLC
Same address
Clinical
12 JEFFERSON BLVD STE 2
Staten Island, NY 10312
  • Reassigned Medicare billing, New York enrollment
NPI 1578999546 (718) 966-0317

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
469 services24 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10312 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MINDFUL THERAPY SOLUTIONS LCSW PLLC
Social Worker (Clinical)
12 JEFFERSON BLVD STE 2
STATEN ISLAND, NY 10312
Richmond County (718) 966-0317
MICHELLE RENEE PERLONGO LMHC
Counselor (Mental Health)
12 JEFFERSON BLVD STE 2
STATEN ISLAND, NY 10312
Richmond County (718) 966-0317
ZAINAB KHAN
Counselor (Mental Health)
12 JEFFERSON BLVD STE 2
STATEN ISLAND, NY 10312
Richmond County (718) 500-1726

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elissa Donner-guzman's NPI number?

The NPI number for Elissa Donner-guzman is 1093070872. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Where is Elissa Donner-guzman located?

Elissa Donner-guzman practices at 12 Jefferson Blvd Ste 2, Staten Island, NY 10312. The listed phone number is (718) 966-0317.

What is Elissa Donner-guzman's specialty?

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

Is Elissa Donner-guzman enrolled in Medicare?

Yes. Elissa Donner-guzman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Elissa Donner-guzman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elissa Donner-guzman reassigns Medicare benefits to Mindful Therapy Solutions Lcsw PLLC (Staten Island, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elissa Donner-guzman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elissa Donner-guzman was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.