Meryle Robin Lederer, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

033331 Issued in NY

Practice address

35 Randall HTS
Middletown, NY 10940-4630

Phone

(845) 797-9963

NPI assigned

Apr 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Meryle Lacon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1205324845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 RANDALL HTS",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404630",
            "telephone_number": "845-797-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 RANDALL HTS",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404630",
            "telephone_number": "845-797-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDERER",
        "first_name": "MERYLE",
        "middle_name": "ROBIN",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "033331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERYLE",
            "last_name": "LACON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Regis Lawrence, PA
• Victoria Elizabeth Lawrence, LMSW
• Trichna Lawson, LPN
• LCL Physical Therapy PC
• Leading the Way Inc.
• Alexander Kyle Lee, DO
• Annie Lee, M.D.
• Michael J. Lee, DDS
• Min-Hong Lee, MD, PHD
• Randi Lee

• Clinical Social Worker in Middletown, NY
• Providers in Middletown, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.