Active NPI
Eric Merson, SOCIAL WORKER
- Clinical Social Worker
- Ogdensburg, NY
National Provider Identifier
1285959890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 73 037957
- Practice address
- 109 Ford St
Ogdensburg, NY 13669-1419 - Phone
- (315) 394-0101
- Fax
- (315) 394-0097
- NPI assigned
- Apr 7, 2010
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 73 037957 | NY | Primary |
Addresses
Primary practice location
109 Ford St
Ogdensburg, NY 13669-1419
Mailing address
Ogdensburg Mental Health Clinic
109 Ford St
Ogdensburg, NY 13669
Phone (315) 394-0101
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 |
|---|---|---|---|
| 73 037957 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270598400000",
"number": "1285959890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "OGDENSBURG MENTAL HEALTH CLINIC",
"address_2": "109 FORD ST",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "13669",
"telephone_number": "315-394-0101",
"fax_number": "315-294-0097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 FORD ST",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "136691419",
"telephone_number": "315-394-0101",
"fax_number": "315-394-0097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERSON",
"first_name": "ERIC",
"name_prefix": "Mr.",
"credential": "SOCIAL WORKER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-07",
"last_updated": "2010-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "73 037957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogdensburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.