Active NPI
Eric Devaney Mercadante, LMSW
- Social Worker
- Clifton Park, NY
National Provider Identifier
1154187003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 121459
- Practice address
- 6 Chelsea PL Ste 103
Clifton Park, NY 12065-3236 - Phone
- (844) 253-4229
- NPI assigned
- Feb 27, 2024
- Last updated
- Feb 27, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 121459 | NY | Primary |
Addresses
Primary practice location
6 Chelsea PL Ste 103
Clifton Park, NY 12065-3236
Mailing address
60 Fieldstone Dr
Gansevoort, NY 12831-1714
Phone (518) 469-1979
Other practice location 1
25 Willowbrook Rd
Queensbury, NY 12804-5882
Phone (518) 926-7100
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
| License | State | Type | Specialty |
|---|---|---|---|
| 121459 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary E Vanalstyne Nurse Practitioner in Family Health PC | Current | Accepting new patients | |
| Legacy LCSW Counseling Services PC | Past | Accepting new patients |
Locations
6 Chelsea Pl
Ste 103
Clifton Park, NY 12065
Phone (518) 763-7701
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.
-
- Family Nurse Practitioner
- Clifton Park, NY
- NPI 1164169694
-
- Clinical Social Worker
- Clifton Park, NY
- NPI 1396080339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1154187003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 FIELDSTONE DR",
"city": "GANSEVOORT",
"state": "NY",
"postal_code": "128311714",
"telephone_number": "518-469-1979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 CHELSEA PL STE 103",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653236",
"telephone_number": "844-253-4229"
}
],
"practiceLocations": [
{
"address_1": "25 Willowbrook Rd",
"address_purpose": "LOCATION",
"city": "Queensbury",
"state": "NY",
"postal_code": "128045882",
"country_code": "US",
"telephone_number": "518-926-7100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERCADANTE",
"first_name": "ERIC",
"middle_name": "DEVANEY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-27",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "121459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.