NPIMap

Organization Active NPI

Ines M Mercedes-Alcantara L.C.S.W

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1477823268
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO54425-1 Issued in NY
Legal business name
INES M MERCEDES-ALCANTARA L.C.S.W
Practice address
2360 Amsterdam Ave
Suite # M-2
New York, NY 10033-7362
Phone
(646) 678-5222
Fax
(646) 678-5119
NPI assigned
Jan 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Mrs. Dolores C Estevez
Title
Office Manager
Phone
(917) 294-4725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X RO54425-1 NY Primary

Addresses

Primary practice location

2360 Amsterdam Ave
Suite # M-2
New York, NY 10033-7362

Mailing address

2360 Amsterdam Ave
Suite M-2
New York, NY 10033-7362
Phone (646) 678-5222

Other identifiers 2

IdentifierTypeStateIssuer
02764363MedicaidNY
A300037937OtherNYMEDICARE PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1477823268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 AMSTERDAM AVE",
            "address_2": "SUITE M-2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337362",
            "telephone_number": "646-678-5222",
            "fax_number": "646-678-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 AMSTERDAM AVE",
            "address_2": "SUITE # M-2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337362",
            "telephone_number": "646-678-5222",
            "fax_number": "646-678-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INES M MERCEDES-ALCANTARA L.C.S.W",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "ESTEVEZ",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "917-294-4725",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO54425-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02764363",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A300037937",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.