Tanya Lanette Merritts-Carr, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0499931 Issued in NY

Practice address

3 Hatfield Lane
Suite 1, Valley Behavioral Medicine
Goshen, NY 10924-6732

Phone

(845) 291-7480

Fax

(845) 294-3785

NPI assigned

Sep 14, 2006

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

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

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.

• Access: Supports for Living Inc

  • Multi-Specialty Clinic/Center
  • Middletown, NY
  • NPI 1528174976
  Medicare reassignment NPD
• East Orange Psychiatric Associates, LLP

  • Clinical Social Worker
  • Newburgh, NY
  • NPI 1508918590
  Medicare reassignment NPD
• Access: Supports for Living Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Middletown, NY
  • NPI 1790326320
  NPD
• Valley Behavioral Medicine, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Goshen, NY
  • NPI 1881602852
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1730284571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HATFIELD LANE",
            "address_2": "SUITE 1, VALLEY BEHAVIORAL MEDICINE",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246732",
            "telephone_number": "845-291-7480",
            "fax_number": "845-294-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HATFIELD LANE",
            "address_2": "SUITE 1, VALLEY BEHAVIORAL MEDICINE",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246732",
            "telephone_number": "845-291-7480",
            "fax_number": "845-294-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITTS-CARR",
        "first_name": "TANYA",
        "middle_name": "LANETTE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0499931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Elizabeth Medders, RN
• Mediprint LLC
• Marc S. Mednick, PH.D.
• Debra Meerdink, RN BSN
• Kahli Mercik, LCSW
• Gail Messenger, LMHC
• Bridget Frances Meyer, RPH
• Ashley Miano, CASAC-T
• Michelle Angela Salvaggio
• Mid Hudson Orthopedic & Sports Medicine P.C.

• Clinical Social Worker in Goshen, NY
• Providers in Goshen, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.