Individual provider Active NPI

Merri B Francis, LCSW

  • Clinical Social Worker
  • Cameron Park, CA
National Provider Identifier
1861576209
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS12646 Issued in CA
Practice address
4120 Cameron Park Dr
Suite 205
Cameron Park, CA 95682-7212
Phone
(916) 802-7102
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS12646 CA Primary

Addresses

Primary practice location

4120 Cameron Park Dr
Suite 205
Cameron Park, CA 95682-7212

Mailing address

4120 Cameron Park Dr
Suite 205
Cameron Park, CA 95682-7212
Phone (916) 802-7102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160523002283 CA Practitioner - Clinical Social Worker 0749579217 Practice locations: Cameron Park, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4122 Cameron Park Dr
Suite 105
Cameron Park, CA 95682-7565
Phone (916) 802-7102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS12646CAMDClinical Social Worker
12646CAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1861576209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 CAMERON PARK DR",
            "address_2": "SUITE 205",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956827212",
            "telephone_number": "916-802-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 CAMERON PARK DR",
            "address_2": "SUITE 205",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956827212",
            "telephone_number": "916-802-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCIS",
        "first_name": "MERRI",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS12646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron Park, CA

Sources for this page

Verify at the official NPI Registry.