Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nellie E. Liciaga, LCSW, M-CASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1437326253

Nellie E. Liciaga, LCSW, M-CASAC is a Clinical Social Worker in Rego Park, New York. Graduated from Fordham University School of Medicine in 2012, 14 years ago. Practices with Long Island Consultation Center Inc, a 19-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Trained at
Fordham University School of Medicine
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

9729 64th Rd
Rego Park, NY 11374-2259
Phone: (718) 896-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 12366 (NY)

Record details

NPI number1437326253
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , M-CASAC
Sole proprietorYes
NPI enumeratedMay 12, 2008
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolFORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Long Island Consultation Center Inc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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