Active NPI
Malory May Mercado
- Social Worker
- Sullivan City, TX
National Provider Identifier
1427774124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 69517
- Practice address
- 729 El Lucero St
Sullivan City, TX 78595-2156 - Phone
- (956) 342-1222
- NPI assigned
- Oct 13, 2022
- Last updated
- Oct 13, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 69517 | TX | Primary |
Addresses
Primary practice location
729 El Lucero St
Sullivan City, TX 78595-2156
Mailing address
729 El Lucero St
Sullivan City, TX 78595-2156
Phone (956) 342-1222
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 |
|---|---|---|---|
| 69517 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1427774124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "729 EL LUCERO ST",
"city": "SULLIVAN CITY",
"state": "TX",
"postal_code": "785952156",
"telephone_number": "956-342-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 EL LUCERO ST",
"city": "SULLIVAN CITY",
"state": "TX",
"postal_code": "785952156",
"telephone_number": "956-342-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "MALORY",
"middle_name": "MAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-13",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "69517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sullivan City, TX
- La Fuente DME, Inc.
- La Fuente Home Health Services, Inc.
- La Fuente Inc. (La Fuente Adult Day Care)
- La Fuente, Inc (La Fuente Primary Home Care)
- Gesler Louis Madhere, PHYSICIAN ASSISTANT
- Mi Generacion Adult Day Care Inc.
- My Safe Haven Corporation (Amor Mio Provider Services)
- Melissa Pena
- Judy G Tanguma
- Vela & Solis Inc (Ideal Medical Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.