Individual provider Active NPI

Laureen Mercurio, LCSW

  • Clinical Social Worker
  • Saint James, NY
National Provider Identifier
1578624607
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R026712 Issued in NY
Practice address
5 Meadow Gate E
Saint James, NY 11780-1349
Phone
(516) 316-5374
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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 R026712 NY Primary

Addresses

Primary practice location

5 Meadow Gate E
Saint James, NY 11780-1349

Mailing address

5 Meadow Gate E
Saint James, NY 11780-1349
Phone (516) 316-5374

Other identifiers 1

IdentifierTypeStateIssuer
113284015OtherNYTAX IDENTIFICATION NUMBER

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
I20101207000755 NY Practitioner - Clinical Social Worker 3779770458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5 Meadow Gate E
Saint James, NY 11780-1349
Phone (516) 316-5374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R026712NYMDClinical Social Worker
026712NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Laureen Mercurio LCSW PC CurrentSince Apr 18, 1992 Accepting new patients
Michael Napoli, LCSW, P.C. Clinical PastSince Sep 1, 2014 Accepting new patients

Locations

626 Willis Ave
Williston Pk, NY 11596
Phone (516) 316-5374

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1578624607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MEADOW GATE E",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117801349",
            "telephone_number": "516-316-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEADOW GATE E",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117801349",
            "telephone_number": "516-316-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCURIO",
        "first_name": "LAUREEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R026712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "113284015",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint James, NY

Sources for this page

Verify at the official NPI Registry.