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MARIAELENA MODICA LCSW
NPI 1801170956
Social Worker - Clinical in Staten Island, NY

Active since October 07, 2011PECOS EnrolledAccepts Medicare Assignment
2381 HYLAN BLVD, STATEN ISLAND, NY 10306(800) 277-4680 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mariaelena Modica Lcsw NPPES

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

MARIAELENA MODICA LCSW (NPI 1801170956) is an individual clinical provider in Staten Island, New York, licensed in New York (080977-01) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1801170956
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARIAELENA MODICACredential: LCSW
Location Address2381 HYLAN BLVDStaten Island, NY 10306-3122
Mailing Address30 Upton StStaten Island, NY 10304-3108 · (347) 539-7692
Phone(800) 277-4680
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 7, 2011
Last NPPES UpdateNovember 2, 2022
NPPES CertifiedNovember 2, 2022
✔ NPI 1801170956 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 · 080977-01
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 ListedSocial WorkerTaxonomy 104100000X · License 080977-01 (NY)
2381 HYLAN BLVD, Staten Island, NY 10306
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Accepted Insurance

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

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

Mariaelena Modica Lcsw 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 ID6406183920
PECOS Enrollment IDI20190807000405
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10306 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 $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 17

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

MS. KERRY KARIMA GREEN LMSW
Social Worker
2381 HYLAN BLVD
STATEN ISLAND, NY 10306
Richmond County (800) 277-4680
ESTHER TRESSER-POLANCO LMHC
Counselor (Mental Health)
2381 HYLAN BLVD, SUITE 12
STATEN ISLAND, NY 10306
Richmond County (718) 395-5794
MR. JASON JAMES VOMERO LMSW
Social Worker
2381 HYLAN BLVD
STATEN ISLAND, NY 10306
Richmond County (718) 494-2858
KRISSA GAYLE LMSW
Social Worker
2381 HYLAN BLVD
STATEN ISLAND, NY 10306
Richmond County (718) 494-2858
LATIFF ROBBINS LMSW
Social Worker
2381 HYLAN BLVD
STATEN ISLAND, NY 10306
Richmond County (800) 277-4680
KATHLEEN TEDESCO LCSW
Social Worker (Clinical)
2381 HYLAN BLVD
STATEN ISLAND, NY 10306
Richmond County (800) 277-4680
MRS. MAGAN ANN MCCARTHY-HAYES LCSW
Social Worker (Clinical)
2381 HYLAN BLVD
STATEN ISLAND, NY 10306
Richmond County (800) 277-4680
MRS. SALWA AWAD LMSW
Social Worker (Clinical)
2381 HYLAN BLVD
STATEN ISLAND, NY 10306
Richmond County (800) 227-4680

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 Mariaelena Modica's NPI number?

The NPI number for Mariaelena Modica is 1801170956. It was assigned to this individual provider in the NPPES registry on October 7, 2011.

Where is Mariaelena Modica located?

Mariaelena Modica practices at 2381 Hylan Blvd, Staten Island, NY 10306. The listed phone number is (800) 277-4680.

What is Mariaelena Modica's specialty?

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

Is Mariaelena Modica enrolled in Medicare?

Yes. Mariaelena Modica 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.

What insurance does Mariaelena Modica accept?

Health plans from Providence Health Plan and UnitedHealthcare list Mariaelena Modica 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 Mariaelena Modica was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.