Active NPI
Richard L Merillat, LCSW
- Clinical Social Worker
- Cape Coral, FL
National Provider Identifier
1417970245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW7100
- Practice address
- 1222 SE 47TH St
Suite 217
Cape Coral, FL 33904-9661 - Phone
- (239) 829-5480
- NPI assigned
- Jul 25, 2006
- Last updated
- May 28, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | SW7100 | FL | Primary |
Addresses
Primary practice location
1222 SE 47TH St
Suite 217
Cape Coral, FL 33904-9661
Mailing address
1222 SE 47TH St
Suite 217
Cape Coral, FL 33904-9661
Phone (239) 829-5480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 767529100 | 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Hospice and Community Services, Inc | Past | Accepting new patients | |
| Hope Hospice and Community Services Inc | Past | Accepting new patients | |
| Pathways of Hope | Past | Accepting new patients | |
| Hope Life Care | Past | Accepting new patients | |
| Hope Select Care | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Fort Myers, FL
- NPI 1255908968
-
dba Hope Comfort Care Program
- Family Medicine Physician
- Fort Myers, FL
- NPI 1114225745
-
- Case Management Agency
- Fort Myers, FL
- NPI 1346411089
-
- PACE Provider Organization
- Fort Myers, FL
- NPI 1467632406
-
- Community/Behavioral Health Agency
- Fort Myers, FL
- NPI 1275708414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401235200000",
"number": "1417970245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 SE 47TH ST",
"address_2": "SUITE 217",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339049661",
"telephone_number": "239-829-5480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 SE 47TH ST",
"address_2": "SUITE 217",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339049661",
"telephone_number": "239-829-5480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERILLAT",
"first_name": "RICHARD",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2014-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW7100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "767529100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.