Individual provider Active NPI

Jailyn Mercado

  • Clinical Social Worker
  • Mayaguez, PR
National Provider Identifier
1043021231
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16943 Issued in PR
Practice address
PO Box 190
Mayaguez, PR 00681-0190
Phone
(787) 831-5800
NPI assigned
Jan 16, 2025
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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 16943 PR Primary

Addresses

Primary practice location

PO Box 190
Mayaguez, PR 00681-0190

Mailing address

Urb Borinquen Calle Antonio Pedreira F4
Cabo Rojo, PR 00623-3364
Phone (939) 264-6029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250612002431 PR Practitioner - Clinical Social Worker 7719497841 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16943PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Migrant Health Center Western Region, Inc. CurrentSince Mar 21, 2025 Accepting new patients
Migrant Health Center Western Region, Inc. CurrentSince Mar 21, 2025 Accepting new patients
Migrant Health Center Western Region,Inc Current Accepting new patients
Migrant Health Center Western Region, Inc. Past Accepting new patients
Migrant Health Center Western Region, Inc. Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1043021231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB BORINQUEN CALLE ANTONIO PEDREIRA F4",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233364",
            "telephone_number": "939-264-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810190",
            "telephone_number": "787-831-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "JAILYN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "16943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.