Individual provider Active NPI

Linda A Mertens, LCSW, LMSW,CSW

  • Clinical Social Worker
  • North Venice, FL
National Provider Identifier
1104912799
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW12451 Issued in FL
Practice address
1813 Curry TRL
North Venice, FL 34275-2962
Phone
(586) 381-4345
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801069768 MI
Clinical Social Worker 1041C0700X SW12451 FL Primary

Addresses

Primary practice location

1813 Curry TRL
North Venice, FL 34275-2962

Mailing address

1813 Curry TRL
North Venice, FL 34275-2962
Phone (586) 381-4345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170214001603 FL Practitioner - Clinical Social Worker 5395714463 Reassigns benefits to 2 organizations
Practice locations: North Venice, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Counseling Services of the Gulf Coast IncGroup PAC ID 1456314343, 13 clinicians

Practice addresses (Care Compare)

3224 Bee Ridge Rd
Sarasota, FL 34239-7201
Phone (941) 926-2959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW12451FLMDClinical Social Worker
6801069768MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Counseling, Inc Clinical CurrentSince Apr 24, 2018 Accepting new patients
Samaritan Counseling Services of the Gulf Coast Inc CurrentSince Mar 1, 2017 Accepting new patients
Linda a Mertens Clinical PastSince Jan 8, 2016 Accepting new patients

Locations

2960 S McCall Rd
Ste 105
Englewood, FL 34224
Phone (941) 473-3838

14305 Covenant Way
Lakewood Ranch, FL 34202

3224 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 284-8964

790 Tamiami Trl
Venice, FL 34285
Phone (813) 628-9791

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1104912799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 CURRY TRL",
            "city": "NORTH VENICE",
            "state": "FL",
            "postal_code": "342752962",
            "telephone_number": "586-381-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 CURRY TRL",
            "city": "NORTH VENICE",
            "state": "FL",
            "postal_code": "342752962",
            "telephone_number": "586-381-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTENS",
        "first_name": "LINDA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW, LMSW,CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801069768",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Venice, FL

Sources for this page

Verify at the official NPI Registry.