Individual provider Active NPI

Amy L Mercier, LICSW

  • Clinical Social Worker
  • Bedford, NH
National Provider Identifier
1184769473
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1551 Issued in NH
Practice address
80 Palomino LN Ste 101
Bedford, NH 03110-6447
Phone
(603) 819-3816
Fax
(603) 606-1032
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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 1551 NH Primary

Addresses

Primary practice location

80 Palomino LN Ste 101
Bedford, NH 03110-6447

Mailing address

80 Palomino LN Ste 101
Bedford, NH 03110-6447
Phone (603) 819-3816

Other names 1

  • Amy L Mercier Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20101123001063 NH Practitioner - Clinical Social Worker 4385830819 Practice locations: Bedford, NH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

80 Palomino LN
Suite 101
Bedford, NH 03110-6447
Phone 60381938163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1551NHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1184769473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PALOMINO LN STE 101",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106447",
            "telephone_number": "603-819-3816",
            "fax_number": "603-606-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PALOMINO LN STE 101",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106447",
            "telephone_number": "603-819-3816",
            "fax_number": "603-606-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCIER",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MERCIER",
            "middle_name": "L",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.