Individual provider Active NPI

Eric Devaney Mercadante, LMSW

  • Social Worker
  • Clifton Park, NY
National Provider Identifier
1154187003
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
121459 Issued in NY
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
121459NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mary E Vanalstyne Nurse Practitioner in Family Health PC CurrentSince Mar 3, 2024 Accepting new patients
Legacy LCSW Counseling Services PC PastSince Mar 3, 2024 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.

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.

Verify at the official NPI Registry.