Active NPI
Monique Mercado
- Clinical Social Worker
- Oviedo, FL
National Provider Identifier
1376927012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW12913
- Practice address
- 1759 W Broadway St
Ste 3
Oviedo, FL 32765-8128 - Phone
- (407) 977-4335
- Fax
- (407) 977-4370
- NPI assigned
- Jul 13, 2015
- Sex
- Female
- 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 | SW12913 | FL | Primary |
Addresses
Primary practice location
1759 W Broadway St
Ste 3
Oviedo, FL 32765-8128
Mailing address
1759 W Broadway St
Ste 3
Oviedo, FL 32765-8128
Phone (407) 977-4335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001522900 | Medicaid | FL |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436745600000",
"number": "1376927012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1759 W BROADWAY ST",
"address_2": "STE 3",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327658128",
"telephone_number": "407-977-4335",
"fax_number": "407-977-4370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1759 W BROADWAY ST",
"address_2": "STE 3",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327658128",
"telephone_number": "407-977-4335",
"fax_number": "407-977-4370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "MONIQUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-13",
"last_updated": "2015-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW12913",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001522900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.