Individual provider Active NPI

Patricia A Mertz, LCSW

  • Social Worker
  • Albany, NY
National Provider Identifier
1518084235
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
094222 Issued in NY
Practice address
401 New Karner Rd Ste 2
Albany, NY 12205-3840
Phone
(518) 431-0531
NPI assigned
Mar 26, 2007
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 091806 NY
Social Worker 104100000X 094222 NY Primary

Addresses

Primary practice location

401 New Karner Rd Ste 2
Albany, NY 12205-3840

Mailing address

401 New Karner Rd Ste 2
Albany, NY 12205-3840
Phone (518) 429-5097

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
I20231003001031 NY Practitioner - Clinical Social Worker 1557715042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

314 Central Ave
Albany, NY 12206-2522
Phone (518) 407-0093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
091806NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Support Services, Inc Current Accepting new patients
Rehabilitation Support Services, Inc CurrentSince Aug 7, 2023 Accepting new patients
Unity House of Troy, Inc. Past Accepting new patients

Locations

314 Central Ave
Albany, NY 12206
Phone (518) 407-0093

5172 Western Tpke
Altamont, NY 12009
Phone (518) 464-1511

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1518084235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NEW KARNER RD STE 2",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053840",
            "telephone_number": "518-429-5097",
            "fax_number": "518-447-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NEW KARNER RD STE 2",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053840",
            "telephone_number": "518-431-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTZ",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "091806",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "094222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.