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

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: October 25, 2026.

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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Long Island Consultation Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20040721001568Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

50

Medicare enrollment records show 50 clinicians reassign Medicare billing to Long Island Consultation Center, Inc., which bills Medicare for the services they deliver. Of these, 6 practice at this address and 40 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Clinical Social Worker34
Psychiatry9
Nurse Practitioner5
Mental Health Counselor2

Nearest to this location (20)

See all 50
Clinical Social Worker
NPI 1891310769
9131 QUEENS BLVD STE 222
Elmhurst, NY 11373
(718) 896-3400
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1174026595
9131 QUEENS BLVD
Elmhurst, NY 11373
(718) 896-3400
✔ PECOSSame address
Mental Health Counselor
NPI 1427900869
9131 QUEENS BLVD
Elmhurst, NY 11373
(718) 896-3400
✔ PECOSSame address
Mental Health Counselor
NPI 1528577822
9131 QUEENS BLVD STE 221
Elmhurst, NY 11373
(718) 896-3400
✔ PECOSSame address
Nurse Practitioner
NPI 1427501188
9131 QUEENS BLVD STE 222
Elmhurst, NY 11373
(718) 896-3400
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1225353931
9131 QUEENS BLVD STE 222
Elmhurst, NY 11373
(718) 896-3400
✔ PECOSSame address
Clinical Social Worker
NPI 1437326253
9729 64TH RD
Rego Park, NY 11374
(718) 896-3400
✔ PECOS✔ Accepts Medicare0.6 mi
Clinical Social Worker
NPI 1952766479
9729 64TH RD
Rego Park, NY 11374
(718) 896-3400
✔ PECOS0.6 mi
Clinical Social Worker
NPI 1568647931
9729 64TH RD
Rego Park, NY 11374
(718) 896-3400
✔ PECOS0.6 mi
Clinical Social Worker
NPI 1336212018
9729 64TH RD
Rego Park, NY 11374
(718) 896-3400
✔ PECOS✔ Accepts Medicare0.6 mi
Clinical Social Worker
NPI 1982999363
9729 64TH RD
Rego Park, NY 11374
(718) 896-3400
✔ PECOS✔ Accepts Medicare0.6 mi
Psychiatry
NPI 1417033184
9729 64TH RD
Rego Park, NY 11374
(718) 896-3400
✔ PECOS0.6 mi
Clinical Social Worker
NPI 1790968857
9729 64TH RD
Rego Park, NY 11374
(718) 896-3400
✔ PECOS✔ Accepts Medicare0.6 mi
Clinical Social Worker
NPI 1497786776
9729 64TH RD
Rego Park, NY 11374
(718) 896-3400
✔ PECOS✔ Accepts Medicare0.6 mi
Clinical Social Worker
NPI 1760721088
9729 64TH RD
Rego Park, NY 11374
(718) 896-3400
✔ PECOS✔ Accepts Medicare0.6 mi
Clinical Social Worker
NPI 1912134396
9729 64TH RD
Rego Park, NY 11374
(718) 896-3400
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1164896874
10467 44TH AVE APT 2
Corona, NY 11368
(917) 569-6742
✔ PECOS✔ Accepts Medicare1.2 mi
Clinical Social Worker
NPI 1427156157
79-01 BROADWAY MANAGED CARE, D1-01
Elmhurst, NY 11373
(718) 334-1921
✔ PECOS1.2 mi
Clinical Social Worker
NPI 1306199112
7901 BROADWAY
Elmhurst, NY 11373
(718) 334-4000
✔ PECOS1.2 mi
Psychiatry
NPI 1487691820
8004 190TH ST
Hollis, NY 11423
(718) 224-6802
✔ PECOS✔ Accepts Medicare4.7 mi
See all 50 clinicians

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

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.

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 Long Island Consultation Center, Inc.'s NPI number?

The NPI number for Long Island Consultation Center, Inc. is 1295878577. It was assigned to this organization in the NPPES registry on February 15, 2007.

Where is Long Island Consultation Center, Inc. located?

Long Island Consultation Center, Inc. is located at 9131 Queens Blvd Ste 222, Elmhurst, NY 11373. The listed phone number is (718) 896-3400.

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.

Is Long Island Consultation Center, Inc. enrolled in Medicare?

Yes. Long Island Consultation Center, Inc. is registered in the Medicare PECOS enrollment system.

When is Long Island Consultation Center, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Long Island Consultation Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 50 clinicians in 4 Medicare specialties reassign their Medicare billing to Long Island Consultation Center, Inc.. A 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 the clinician's services. The largest specialties are Clinical Social Worker (34), Psychiatry (9) and Nurse Practitioner (5). Of these, 6 practice at this address and 40 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Long Island Consultation Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2326007) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Long Island Consultation Center, Inc. was last updated on November 2, 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.