Individual provider Active NPI

Mercy M Greenwald, LCSW

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1467934711
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8665-123 Issued in WI
Practice address
615 E Washington Ave
Madison, WI 53703-2952
Phone
(608) 826-8010
Fax
(608) 826-8027
NPI assigned
Sep 4, 2018
Last updated
Nov 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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 8665-123 WI Primary

Addresses

Primary practice location

615 E Washington Ave
Madison, WI 53703-2952

Mailing address

702 S High Point Rd Ste 105
Madison, WI 53719-4926
Phone (608) 826-8011

Other practice location 1

1402 Wyoming Way
Madison, WI 53704-1497
Phone (608) 826-8010 ext. 8010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20191004003152 WI Practitioner - Clinical Social Worker 2365773389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeside Counseling Center, LLCGroup PAC ID 3577006758, 16 clinicians

Practice addresses (Care Compare)

5315 Wall St
Suite 200
Madison, WI 53718-1323
Phone (608) 889-7173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8665-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Counseling Center, LLC CurrentSince May 1, 2025 Accepting new patients
Catholic Charities Inc Diocese of Madison CurrentSince Jul 25, 2019 Accepting new patients
Catholic Charities Inc., Diocese of Madison PastSince Jul 25, 2019 Accepting new patients

Locations

1360 Regent St
Madison, WI 53715
Phone (608) 889-7173

5315 Wall St
Ste 200
Madison, WI 53718
Phone (608) 889-7173

702 S High Point Rd
Ste 105
Madison, WI 53719
Phone (608) 826-8010

Organizations & group practices 3

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": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1467934711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 S HIGH POINT RD STE 105",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537194926",
            "telephone_number": "608-826-8011",
            "fax_number": "608-826-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E WASHINGTON AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032952",
            "telephone_number": "608-826-8010",
            "fax_number": "608-826-8027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1402 Wyoming Way",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537041497",
            "country_code": "US",
            "telephone_number": "608-826-8010 x8010",
            "fax_number": "608-826-8027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENWALD",
        "first_name": "MERCY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8665-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.