Individual provider Active NPI

Jose Norberto Garcia-Mercado

  • Clinical Social Worker
  • Springfield, MA
National Provider Identifier
1346594512
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
121941 Issued in MA
Practice address
405 Roosevelt Ave
Springfield, MA 01118-1131
Phone
(413) 200-8324
Fax
(866) 892-0405
NPI assigned
Nov 9, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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 121941 MA Primary

Addresses

Primary practice location

405 Roosevelt Ave
Springfield, MA 01118-1131

Mailing address

405 Roosevelt Ave
Springfield, MA 01118-1131
Phone (413) 200-8324

Other identifiers 7

IdentifierTypeStateIssuer
71756OtherMATUFTS
042622756OtherMACOMMONWEALTH CARE ALLIANCE
8443OtherMABMC/BEACON
12529OtherMAHEALTH NEW ENGLAND
1303295OtherMAMBHP
1303295MedicaidMA
997303OtherMANETWORK HEALTH

Other names 1

  • Jose Garcia Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20210311000967 MA Practitioner - Clinical Social Worker 6103232491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Programs Inc 45 clinicians

Practice addresses (Care Compare)

444 Stockbridge Rd
Great Barrington, MA 01230-1295
Phone (413) 528-8580

780 Main St
Great Barrington, MA 01230-2148
Phone (413) 528-1470

PO Box
Suite 30
Great Barrington, MA 01230-0030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121941MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jose Garcia-Mercado CurrentSince Feb 1, 2024 Accepting new patients
Behavioral Health Network, Inc CurrentSince Dec 8, 2020 Accepting new patients
Behavioral Health Network Inc CurrentSince Dec 8, 2020 Accepting new patients
Community Health Programs CurrentSince Oct 29, 2023 Accepting new patients
Community Health Programs, Inc. Current Accepting new patients
Community Health Programs, Inc. CurrentSince Oct 29, 2023 Accepting new patients
Mental Health Association, Inc. PastSince Mar 24, 2025 Accepting new patients

Locations

40 Bobala Rd
Holyoke, MA 01040
Phone (413) 536-5473

417 Liberty St
Springfield, MA 01104
Phone (413) 733-6661

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1346594512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 ROOSEVELT AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181131",
            "telephone_number": "413-200-8324",
            "fax_number": "866-892-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 ROOSEVELT AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181131",
            "telephone_number": "413-200-8324",
            "fax_number": "866-892-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-MERCADO",
        "first_name": "JOSE",
        "middle_name": "NORBERTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-09",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "71756",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH CARE ALLIANCE",
            "identifier": "042622756",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC/BEACON",
            "identifier": "8443",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "12529",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBHP",
            "identifier": "1303295",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303295",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "997303",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "GARCIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.