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MR. NINO A ELIZONDO LCSW
NPI 1164608188
Social Worker - Clinical in Marlboro, NY

Active since January 22, 2008PECOS Enrolled
45 CRICCHIO DR, MARLBORO, NY 12542(703) 927-6322(845) 236-7476 Get Directions Write a Review

NPPES record last updated: July 8, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Nino A Elizondo Lcsw NPPES

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

MR. NINO A ELIZONDO LCSW (NPI 1164608188) is an individual clinical provider in Marlboro, New York, licensed in New York (072214) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1164608188
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. NINO A ELIZONDOCredential: LCSW
Location Address45 CRICCHIO DRMarlboro, NY 12542-6321
Mailing Address45 Cricchio DrMarlboro, NY 12542-6321 · (703) 927-6322 · Fax (845) 236-7476
Phone(703) 927-6322
Fax(845) 236-7476
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 22, 2008
Last NPPES UpdateJuly 8, 2013
✔ NPI 1164608188 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 · 072214
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.
45 CRICCHIO DR, Marlboro, NY 12542
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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 (PECOS)

Mr. Nino A Elizondo Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537496104
PECOS Enrollment IDI20210624000225
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 Nino Elizondo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mobile Counseling Of New York Lcsw, PLLC
274 mi
Clinical
52 WOODSTREAM DR
Grand Island, NY 14072
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1700359700 (716) 302-4545

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12542 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 $61.88 – $187.05
Typical copayment $0.00 (range $15.47 – $46.76)
Most-billed visit code NA
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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.

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 Nino Elizondo's NPI number?

The NPI number for Nino Elizondo is 1164608188. It was assigned to this individual provider in the NPPES registry on January 22, 2008.

Where is Nino Elizondo located?

Nino Elizondo practices at 45 Cricchio Dr, Marlboro, NY 12542. The listed phone number is (703) 927-6322.

What is Nino Elizondo's specialty?

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

Is Nino Elizondo enrolled in Medicare?

Yes. Nino Elizondo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nino Elizondo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nino Elizondo reassigns Medicare benefits to Mobile Counseling Of New York Lcsw, PLLC (Grand 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 Nino Elizondo'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 Nino Elizondo was last updated on July 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.