Individual provider Active NPI

Merrill Tomlinson-Carinci, LCSW

  • Clinical Social Worker
  • Bellerose Manor, NY
National Provider Identifier
1457428534
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R047896-1 Issued in NY
Practice address
8019 233Rd St
Bellerose Manor, NY 11427-2111
Phone
(718) 264-0915
Fax
(718) 264-0915
NPI assigned
Nov 30, 2006
Last updated
Jan 31, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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 R047896-1 NY Primary

Addresses

Primary practice location

8019 233Rd St
Bellerose Manor, NY 11427-2111

Mailing address

80-19 233Rd Street
Bellerose Manor, NY 11427
Phone (718) 264-0915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110322000049 NY Practitioner - Clinical Social Worker 1759564271 Reassigns benefits to 1 organization
Practice locations: Bellerose Manor, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8019 233Rd St
Bellerose Manor, NY 11427-2111
Phone (718) 264-0915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R047896-1NYMDClinical Social Worker
047896NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Care LCSW PLLC Clinical CurrentSince Mar 27, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1457428534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80-19 233RD STREET",
            "city": "BELLEROSE MANOR",
            "state": "NY",
            "postal_code": "11427",
            "telephone_number": "718-264-0915",
            "fax_number": "718-264-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8019 233RD ST",
            "city": "BELLEROSE MANOR",
            "state": "NY",
            "postal_code": "114272111",
            "telephone_number": "718-264-0915",
            "fax_number": "718-264-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMLINSON-CARINCI",
        "first_name": "MERRILL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R047896-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose Manor, NY

Sources for this page

Verify at the official NPI Registry.