Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elissa Donner-Guzman, LCSW-R

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1093070872

Elissa Donner-Guzman, LCSW-R is a Clinical Social Worker in Staten Island, New York. Qualified in 2007, 19 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

12 Jefferson Blvd Ste 2
Staten Island, NY 10312-3330
Phone: (718) 966-0317
Fax: (917) 791-8248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 73-079574 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 19339 (NY)

Record details

NPI number1093070872
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedJuly 9, 2012
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Staten Island