Individual provider Active NPI

James Boyd Merrick

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1669989141
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
094589 Issued in NY
Practice address
40 Flatbush Avenue Ext FL 3
Brooklyn, NY 11201-2903
Phone
(212) 271-7200
NPI assigned
Jan 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 094589 NY Primary

Addresses

Primary practice location

40 Flatbush Avenue Ext FL 3
Brooklyn, NY 11201-2903

Mailing address

40 Flatbush Avenue Ext FL 3
Brooklyn, NY 11201-2903

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
I20260220000196 NY Practitioner - Clinical Social Worker 0941781702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

356 W 18TH St
New York, NY 10011-4401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
094589NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Project Inc. Current Accepting new patients
Community Health Project Inc. CurrentSince Jan 13, 2026 Accepting new patients
Community Health Project Inc. CurrentSince Jan 13, 2026 Accepting new patients
Community Health Project Inc. Past Accepting new patients
Greenwich House PastSince Jul 24, 2022 Accepting new patients

Locations

3144 3rd Ave
Bronx, NY 10451
Phone (718) 215-1800

40 Flatbush Avenue Ext
Fl 3
Brooklyn, NY 11201
Phone (212) 271-7191

356 W 18th St
New York, NY 10011

356 W 18th St
Ste 6
New York, NY 10011

356 W 18th St
Fl 6
New York, NY 10011
Phone (212) 271-7167

Interoperability endpoints

  • Direct secure messaging: jmerrick584296@direct.ochin.org

Organizations & group practices 6

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": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1669989141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FLATBUSH AVENUE EXT FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FLATBUSH AVENUE EXT FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012903",
            "telephone_number": "212-271-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRICK",
        "first_name": "JAMES",
        "middle_name": "BOYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-05",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "094589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.