NELLIE E. LICIAGA LCSW, M-CASAC
NPI 1437326253
Counselor - Addiction (Substance Use Disorder) in Rego Park, NY

Active since May 12, 2008PECOS EnrolledAccepts Medicare Assignment
9729 64TH RD, REGO PARK, NY 11374(718) 896-3400 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nellie E. Liciaga Lcsw, M-casac NPPES

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

NELLIE E. LICIAGA LCSW, M-CASAC (NPI 1437326253) is an individual addiction (substance use disorder) provider in Rego Park, New York, licensed in New York (12366) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Fordham University School Of Medicine (2012).

NPPES Registry Identity

NPI1437326253
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameNELLIE E. LICIAGACredential: LCSW, M-CASAC
Location Address9729 64TH RDRego Park, NY 11374-2259
Mailing Address520 E 142nd St Apt 4aBronx, NY 10454-2156 · (347) 256-8205
Sole ProprietorYes
Medical School CMSFordham University School Of MedicineGraduated 2012
Enumeration DateMay 12, 2008
Last NPPES UpdateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
NPI 1437326253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NY · 12366
9729 64TH RD, Rego Park, NY 11374

Other Names 1

Professional Name (2)Elaine Lederer Executive Director

Other Identifiers 1

Medicaid00244019NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nellie E. Liciaga Lcsw, M-casac 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 ID5294101051
PECOS Enrollment IDI20221019001063
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.

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
9729 64TH RD
REGO PARK, NY 11374
Counselor (Mental Health)
9729 64TH RD
REGO PARK, NY 11374
Social Worker (Clinical)
9729 64TH RD
REGO PARK, NY 11374
Social Worker (Clinical)
9729 64TH RD
REGO PARK, NY 11374
Social Worker (Clinical)
9729 64TH RD
REGO PARK, NY 11374
Social Worker (Clinical)
9729 64TH RD
REGO PARK, NY 11374
Social Worker (Clinical)
9729 64TH RD
REGO PARK, NY 11374
Social Worker (Clinical)
9729 64TH RD
REGO PARK, NY 11374

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 Nellie Liciaga's NPI number?

The NPI number for Nellie Liciaga is 1437326253. It was assigned to this individual provider in the NPPES registry on May 12, 2008. The provider is also known as Elaine Lederer Executive Director.

Where is Nellie Liciaga located?

Nellie Liciaga practices at 9729 64th Rd, Rego Park, NY 11374. The listed phone number is (718) 896-3400.

What is Nellie Liciaga's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Nellie Liciaga enrolled in Medicare?

Yes. Nellie Liciaga 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.

When was this NPI record last updated?

The NPPES record for Nellie Liciaga was last updated on February 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.