Individual provider Active NPI

Maria Elena Mercurio, L.C.S.W.,B.C.D.

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1013035328
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R023144-1 Issued in NY
Practice address
62 W 62ND St
Suite 9C
New York, NY 10023-7000
Phone
(212) 582-9553
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R023144-1 NY Primary

Addresses

Primary practice location

62 W 62ND St
Suite 9C
New York, NY 10023-7000

Mailing address

62 W 62ND St
Suite 9-C
New York, NY 10023-7000
Phone (212) 582-9553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 17, 2025 through Feb 17, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R023144-1NYMDClinical Social Worker

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1013035328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 W 62ND ST",
            "address_2": "SUITE 9-C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237000",
            "telephone_number": "212-582-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 W 62ND ST",
            "address_2": "SUITE 9C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237000",
            "telephone_number": "212-582-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCURIO",
        "first_name": "MARIA",
        "middle_name": "ELENA",
        "credential": "L.C.S.W.,B.C.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R023144-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.