Wanda I Mercado-Ortiz, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

071692-1 Issued in NY

Practice address

386 N Burgher Ave
Staten Island, NY 10310-2024

Phone

(718) 981-3230

NPI assigned

Jul 15, 2009

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1790915429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 N BURGHER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102024",
            "telephone_number": "718-981-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 N BURGHER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102024",
            "telephone_number": "718-981-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO-ORTIZ",
        "first_name": "WANDA",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071692-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Mensch, MD
• Mental Health Counseling of Staten Island PC
• Mental Health Counseling of Staten Island, PC
• Anna Menza, FNP
• Maria Mera Parrales
• Jeremy R Merchant
• Rose Marie Mercil, MA
• Jennifer Mary Mercurio, N.P.
• Mercy & Grace Nurse Practitioner in Gerontology of New York PLLC
• Janet Lee Meresmancohen, M.S. SPECIAL ED

• Clinical Social Worker in Staten Island, NY
• Providers in Staten Island, 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 Jul 15, 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.