Tina Merced, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8895-C Issued in NV

Practice address

6550 S Pecos Rd Ste 119
Las Vegas, NV 89120-2829

Phone

(312) 999-8462

Fax

(702) 342-0936

NPI assigned

May 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Xyz Holistic Therapy Prof LLC

  dba XYZ Holistic Therapy

  • Clinical Social Worker
  • Henderson, NV
  • NPI 1669046421
  NPD Authorized official

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1558851774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2354 BELVEDERE DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890143657",
            "telephone_number": "702-497-5308",
            "fax_number": "702-342-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 S PECOS RD STE 119",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202829",
            "telephone_number": "312-999-8462",
            "fax_number": "702-342-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCED",
        "first_name": "TINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8895-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "7554-S",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Petra Mercado
• Rubicelia Mercado
• Stephanie K Mercado
• Vanessa Mercado
• Yarem Elizabeth Mercado
• Mercedes Kenisha Ward (Unique Care LML Behavior Health Services)
• Brandye Tamnita Mercer
• Christopher Jack Mercer, PA-C
• Gabriel Mercer, PTA
• Justine Mercer

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.