Individual provider Active NPI

Anne Elise Merical, LCSW

  • Clinical Social Worker
  • Millville, DE
National Provider Identifier
1043325921
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001616 Issued in DE
Practice address
32828 Reba Road
Suite a
Millville, DE 19967
Phone
(724) 454-0810
Fax
(302) 564-7465
NPI assigned
Aug 20, 2006
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW012318L PA
Clinical Social Worker 1041C0700X Q1-0001616 DE Primary

Addresses

Primary practice location

32828 Reba Road
Suite a
Millville, DE 19967

Mailing address

36541 Wild Rose Circle
Selbyville, DE 19975
Phone (724) 454-0810

Other identifiers 1

IdentifierTypeStateIssuer
1000863MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • 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
I20180925002915 DE Practitioner - Clinical Social Worker 0547440075 Practice locations: Millville, DE

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

32828 Reba Rd
Suite a
Millville, DE 19967-6909
Phone (727) 454-0810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0001616DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Center, Inc. CurrentSince Feb 1, 2022 Accepting new patients

Locations

32828 Reba Rd
Unit A
Millville, DE 19967
Phone (302) 567-1695

Organizations & group practices 1

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1043325921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36541 WILD ROSE CIRCLE",
            "city": "SELBYVILLE",
            "state": "DE",
            "postal_code": "19975",
            "telephone_number": "724-454-0810",
            "fax_number": "302-564-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32828 REBA ROAD",
            "address_2": "SUITE A",
            "city": "MILLVILLE",
            "state": "DE",
            "postal_code": "19967",
            "telephone_number": "724-454-0810",
            "fax_number": "302-564-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERICAL",
        "first_name": "ANNE",
        "middle_name": "ELISE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW012318L",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000863",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millville, DE

Sources for this page

Verify at the official NPI Registry.