Mercedes A Altschul, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R-075658 Issued in NY

Practice address

15 Horseblock PL
Farmingville, NY 11738-1204

Phone

(631) 854-2552

Fax

(631) 854-2550

NPI assigned

Aug 30, 2006

Last updated

Aug 25, 2011By the provider in NPPES

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

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

State University of New York at Stony Brook, School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1831208842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TALON WAY",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466239",
            "telephone_number": "631-667-6673",
            "fax_number": "631-254-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HORSEBLOCK PL",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381204",
            "telephone_number": "631-854-2552",
            "fax_number": "631-854-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTSCHUL",
        "first_name": "MERCEDES",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-075658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE",
            "identifier": "063082",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bashir Ahmed, MD
• Bryan Scott Ahrens, LMHC
• Michael Aliquo, D.C.
• Allison Connor LCSW, P.C
• Kimberly Melissa Altaro, R.N.
• Eileen Alvarado
• Yamilet Alvarez
• Alicia Jean Andria, L.AC., MT, RN
• Andrew Anjelly
• Arnold Secor DDS PC

• Clinical Social Worker in Farmingville, NY
• Providers in Farmingville, 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 Aug 25, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.