LONG ISLAND CONSULTATION CENTER, INC.
NPI 1295878577
Social Worker - Clinical in Elmhurst, NY

Q: What is Long Island Consultation Center, Inc.'s specialty?

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

Active since February 15, 2007CLIA 33D2326007 · Waiver

9131 QUEENS BLVD STE 222, ELMHURST, NY 11373(718) 896-3400(718) 459-5621 Get Directions Write a Review

NPPES record last updated: November 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Long Island Consultation Center, Inc. NPPES

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

LONG ISLAND CONSULTATION CENTER, INC. (NPI 1295878577) is a healthcare organization registered as a clinical in Elmhurst, New York and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Elaine Lederer, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1295878577

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameLONG ISLAND CONSULTATION CENTER, INC.

Location Address9131 QUEENS BLVD STE 222Elmhurst, NY 11373-5511

Mailing Address9131 Queens Blvd Ste 222Elmhurst, NY 11373-5511 · (718) 896-3400 · Fax (718) 459-5621

Phone(718) 896-3400

Fax(718) 459-5621

Organization SubpartNo

Authorized OfficialElaine LedererExecutive Director · (718) 896-3400

Enumeration DateFebruary 15, 2007

Last NPPES UpdateNovember 2, 2016

✔ NPI 1295878577 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 · 6715100A

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 090210852 (NY)

9131 QUEENS BLVD STE 222, Elmhurst, NY 11373

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Other Identifiers 1

Medicaid00244019NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2326007

Long Island Consulation Center · Elmhurst, NY

Active · expires Mar 26, 2027

CLIA Number33D2326007

Laboratory TypeCommunity Clinic

Certificate Effective DateJune 25, 2025

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Joseph Cohen

Laboratory Phone(718) 896-3400

Laboratory LocationLong Island Consulation Center91-31 Queens Blvd - Suite 222, Elmhurst, NY 11373

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

SAMANTHA MORGAN KOHN LMSW

Social Worker