Individual provider Active NPI

Carleen Mary Riley-Mercado, LSCSW

  • Clinical Social Worker
  • Overland Park, KS
National Provider Identifier
1427646983
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSCSW07378 Issued in KS
Practice address
12541 Foster St Ste 200
Overland Park, KS 66213-2307
Phone
(913) 327-7505
NPI assigned
Jan 9, 2021
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 34008995A IN
Clinical Social Worker 1041C0700X LSCSW07378 KS Primary
Clinical Social Worker 1041C0700X 6801113613 MI

Addresses

Primary practice location

12541 Foster St Ste 200
Overland Park, KS 66213-2307

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7725

Other practice location 1

16974 Puntledge Dr
Westfield, IN 46062-6519
Phone (317) 777-5654

Other practice location 2

300 Lafayette Ave SE Ste 4000
Grand Rapids, MI 49503-4692
Phone (616) 685-6922

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Westfield

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20221210000056 MI Practitioner - Clinical Social Worker 6305215518 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

220 Cherry St SE
Grand Rapids, MI 49503-4608
Phone (616) 685-5050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34008995AINMDCounselor
6801113613MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary's Medical Group CurrentSince Jan 1, 2023 Accepting new patients
Mercy Physician Network CurrentSince Jan 1, 2023 Accepting new patients
Advantage Health/Saint Mary's Medical Group Current Accepting new patients
Mercy Physician Network CurrentSince Jan 1, 2023 Accepting new patients
Mercy Health Partners - Physician Specialist CurrentSince Jan 1, 2023 Accepting new patients
Advantage Health Saint Mary's Medical Group CurrentSince Jan 1, 2023 Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

220 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 685-5576

300 Lafayette Ave SE
Ste 4000
Grand Rapids, MI 49503
Phone (616) 685-6741

1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027

2006 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333

1150 E Sherman Blvd
Ste 1175
Norton Shores, MI 49444
Phone (231) 672-6740

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13864/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1427646983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12541 FOSTER ST STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132307",
            "telephone_number": "913-327-7505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16974 Puntledge Dr",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "IN",
            "postal_code": "460626519",
            "country_code": "US",
            "telephone_number": "317-777-5654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Lafayette Ave SE Ste 4000",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495034692",
            "country_code": "US",
            "telephone_number": "616-685-6922",
            "fax_number": "616-685-5101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY-MERCADO",
        "first_name": "CARLEEN",
        "middle_name": "MARY",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-09",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IN",
            "license": "34008995A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW07378",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801113613",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Westfield",
            "affiliation": "N",
            "address_1": "16974 Puntledge Dr",
            "city": "Westfield",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460626519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.