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GUADALUPE P AVILA GUADALUPE AVILA
NPI 1891949160
Social Worker - Clinical in East Elmhurst, NY

Active since November 12, 2008PECOS Enrolled
3225 90TH ST, APT 408, EAST ELMHURST, NY 11369(917) 907-4737 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Guadalupe P Avila Guadalupe Avila NPPES

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

GUADALUPE P AVILA GUADALUPE AVILA (NPI 1891949160) is an individual clinical provider in East Elmhurst, New York, licensed in New York (055836) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891949160
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGUADALUPE P AVILACredential: GUADALUPE AVILA
Location Address3225 90TH ST, APT 408East Elmhurst, NY 11369-2356
Mailing Address3225 90th St Apt 408East Elmhurst, NY 11369-2306 · (917) 907-4737
Phone(917) 907-4737
Sole ProprietorYes
Enumeration DateNovember 12, 2008
Last NPPES UpdateMarch 30, 2026
NPPES CertifiedMarch 30, 2026
✔ NPI 1891949160 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
Licenses✔ Licensed in NY · 055836✔ Licensed in FL · 055836
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 ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X · License 055836-1 (NY)
3225 90TH ST, East Elmhurst, NY 11369
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Other Names 1

Professional Name (2)Guadalupe Avila Guadalupe Avila

Other Identifiers 2

Other34200NY · Flushing Hospital
Other46300NY · Personal Touch

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Guadalupe P Avila Guadalupe Avila is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Guadalupe Avila reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Queens Psychotherapy Lcsw Services P.C.
2.1 mi
Clinical
9520 63RD RD, SUITE J
Rego Park, NY 11374
  • Reassigned Medicare billing, New York enrollment
  • 32 clinicians in this Medicare group
NPI 1366806705 (718) 459-1225

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11369 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 $67.00 – $201.98
Typical copayment $0.00 (range $16.75 – $50.49)
Most-billed visit code NA
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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 2

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

ALAIN SANTOS
Physical Therapist
3225 90TH ST, APT. 110
EAST ELMHURST, NY 11369
Queens County (347) 421-1752
IN DEPTH PSYCHOTHERAPY LCSW PC
Social Worker (Clinical)
3225 90TH ST
FLUSHING, NY 11369
Queens County (917) 907-4737

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 Guadalupe Avila's NPI number?

The NPI number for Guadalupe Avila is 1891949160. It was assigned to this individual provider in the NPPES registry on November 12, 2008. The provider is also known as Guadalupe Avila Guadalupe Avila.

Where is Guadalupe Avila located?

Guadalupe Avila practices at 3225 90th St Apt 408, East Elmhurst, NY 11369. The listed phone number is (917) 907-4737.

What is Guadalupe Avila's specialty?

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

Is Guadalupe Avila enrolled in Medicare?

Yes. Guadalupe Avila is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Guadalupe Avila's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Guadalupe Avila reassigns Medicare benefits to Queens Psychotherapy Lcsw Services P.C. (Rego Park, NY). The 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 Guadalupe Avila's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Guadalupe Avila was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.