Individual provider Active NPI

Jennifer Dawn Merritt, LMSW, LPN

  • Licensed Practical Nurse
  • Central Square, NY
National Provider Identifier
1144663238
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
314087 Issued in NY
Practice address
347 Winks Rd
Central Square, NY 13036-2235
Phone
(315) 481-6772
NPI assigned
Apr 9, 2013
Last updated
May 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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 131112 NY
Licensed Practical Nurse 164W00000X 314087 NY Primary

Addresses

Primary practice location

347 Winks Rd
Central Square, NY 13036-2235

Mailing address

347 Winks Rd
Central Square, NY 13036-2235
Phone (315) 481-6772

Other practice location 1

29 E Cayuga St
Oswego, NY 13126-1241
Phone (315) 326-4100

Other identifiers 1

IdentifierTypeStateIssuer
82-4163622MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
314087NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Oswego Hospital Past Accepting new patients

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1144663238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 WINKS RD",
            "city": "CENTRAL SQUARE",
            "state": "NY",
            "postal_code": "130362235",
            "telephone_number": "315-481-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 WINKS RD",
            "city": "CENTRAL SQUARE",
            "state": "NY",
            "postal_code": "130362235",
            "telephone_number": "315-481-6772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 E Cayuga St",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "NY",
            "postal_code": "131261241",
            "country_code": "US",
            "telephone_number": "315-326-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "credential": "LMSW, LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "131112",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "314087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82-4163622",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Square, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.