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ELENA ISSENDORF LCSW
NPI 1376814913
Social Worker - Clinical in New York, NY

Active since January 12, 2012Opted out of Medicare · through Oct 1, 2027
516 W 47TH STREET, NEW YORK, NY 10036(917) 650-6325 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2021, Nov 14, 2018 (2 updates tracked since 2018).

About Elena Issendorf Lcsw NPPES

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

ELENA ISSENDORF LCSW (NPI 1376814913) is an individual clinical provider in New York, New York, licensed in New York (083549) and active in the NPI registry since January 2012. She has opted out of Medicare through October 1, 2027 and maintains a secondary practice location in Flushing.

NPPES Registry Identity

NPI1376814913
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELENA ISSENDORFCredential: LCSW
Location Address516 W 47TH STREETNew York, NY 10036
Mailing Address516 W 47th Str. Apt N7bNew York, NY 10036-2978 · (917) 650-6325
Phone(917) 650-6325
Sole ProprietorYes
Enumeration DateJanuary 12, 2012
Last NPPES UpdateJune 30, 20212 updates tracked since enumeration
NPPES CertifiedJune 30, 2021
✔ NPI 1376814913 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 · 083549
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.
516 W 47TH STREET, New York, NY 10036
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Other Names 1

Former Name (1)Elena Krotova

Secondary Practice Location 1

Location 14116 149th StFlushing, NY 11355-1008 · Phone (718) 539-2292

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Elena Issendorf Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2023 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2023
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Elena Issendorf's NPI number?

The NPI number for Elena Issendorf is 1376814913. It was assigned to this individual provider in the NPPES registry on January 12, 2012. The provider is also known as Elena Krotova.

Where is Elena Issendorf located?

Elena Issendorf practices at 516 W 47th Street, New York, NY 10036. The listed phone number is (917) 650-6325.

What is Elena Issendorf's specialty?

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

Is Elena Issendorf enrolled in Medicare?

No. Elena Issendorf has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Elena Issendorf accept?

Health plans from UnitedHealthcare list Elena Issendorf as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elena Issendorf was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.