Nicole Merino

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1600 Central Ave
Far Rockaway, NY 11691-4000

Phone

(718) 471-6818

NPI assigned

May 14, 2021

Last updated

May 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nicole Merino Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: msolis-tito@shelteringarmsny.org

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1457925448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 HIGHVIEW AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906403",
            "telephone_number": "347-961-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CENTRAL AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914000",
            "telephone_number": "718-471-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERINO",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MSolis-Tito@Shelteringarmsny.org",
            "affiliation": "N",
            "endpointDescription": "Agency Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1600 Central Ave",
            "city": "Far Rockaway",
            "state": "NY",
            "country_code": "US",
            "postal_code": "116914000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MERINO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cassandra Menelas, NP
• MNM-Marlyn Menelas
• Raquel M Menjivar
• Fabiola Mentor
• Shameka Mercado
• Mara Shawna Mernick, P.T.
• Metrostar Home Care, LLC
• Anthony James Metzger
• Alexander Meyers, DO
• Jennifer Meza, CCC-SLP

• Clinical Social Worker in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.