Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Nino A Elizondo, LCSW

Individual provider Clinical Social Worker · NPI 1164608188

Mr. Nino A Elizondo, LCSW is a Clinical Social Worker in Marlboro, New York. Qualified in 2000, 26 years ago. Licensed in New York.

Years since qualifying
26
Licensed in
NY
In the registry since
2008
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

45 Cricchio Dr
Marlboro, NY 12542-6321
Phone: (703) 927-6322
Fax: (845) 236-7476
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 072214 (NY)

Record details

NPI number1164608188
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 22, 2008
Last updated in NPPESJuly 8, 2013

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated

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