Individual provider Active NPI

Michele Lynne Mechlin, LMSW

  • Social Worker
  • Albany, NY
National Provider Identifier
1750442554
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
075049-1 Issued in NY
Practice address
26 Hawthorne Ave
Albany, NY 12203-2123
Phone
(518) 438-1956
NPI assigned
Dec 13, 2006
Last updated
Jul 16, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2004026639 MO
Social Worker 104100000X 075049-1 NY Primary
School Social Worker 1041S0200X 1227765 NY

Addresses

Primary practice location

26 Hawthorne Ave
Albany, NY 12203-2123

Mailing address

26 Hawthorne Ave
Albany, NY 12203-2123
Phone (518) 438-1956

Other identifiers 1

IdentifierTypeStateIssuer
499375806MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
075049-1NYMDSocial Worker
2004026639MOMDClinical Social Worker
1227765NYMDSchool Social Worker

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": "1247702400000",
    "number": "1750442554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 HAWTHORNE AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122032123",
            "telephone_number": "518-438-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 HAWTHORNE AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122032123",
            "telephone_number": "518-438-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECHLIN",
        "first_name": "MICHELE",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2004026639",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "075049-1",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "1227765",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "499375806",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.