Individual provider Active NPI

Mecca Constance Cerny, LCSW

  • Clinical Social Worker
  • Sparta, NJ
National Provider Identifier
1114509221
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05546800 Issued in NJ
Practice address
513 Lafayette Rd
Sparta, NJ 07871-3448
Phone
(973) 437-5400
NPI assigned
Apr 27, 2021
Last updated
Apr 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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 44SC05546800 NJ Primary

Addresses

Primary practice location

513 Lafayette Rd
Sparta, NJ 07871-3448

Mailing address

PO Box 689
Sparta, NJ 07871-0689
Phone (201) 841-9335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20210505001548 NJ Practitioner - Clinical Social Worker 6507275492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elderology LLCGroup PAC ID 6507904141, 23 clinicians

Practice addresses (Care Compare)

61 Pearl St
Metuchen, NJ 08840-1832
Phone (908) 514-8590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elderology, LLC Clinical CurrentSince Apr 28, 2021 Accepting new patients
Kane Wound Care LLC PastSince May 16, 2021 Accepting new patients

Locations

61 Pearl St
Metuchen, NJ 08840
Phone (908) 514-8590

Organizations & group practices 2

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": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1114509221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078710689",
            "telephone_number": "201-841-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 LAFAYETTE RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713448",
            "telephone_number": "973-437-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERNY",
        "first_name": "MECCA",
        "middle_name": "CONSTANCE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05546800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

Verify at the official NPI Registry.