Ingrid Nicole Valerio Mejia, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW024158 Issued in PA

Practice address

1105 Berkshire Blvd Ste 110
Wyomissing, PA 19610-1222

Phone

(610) 374-4963

Fax

(610) 378-5403

NPI assigned

Sep 10, 2013

Last updated

Jan 30, 2024By the provider in NPPES

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 PA

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

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Guidance CenterGroup PAC ID 1850291303, 22 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Guidance Center

  • Community/Behavioral Health Agency
  • Wyomissing, PA
  • NPI 1932268356
  Medicare reassignment Care Compare group NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1881029767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 PENN AVE",
            "address_2": "SUITE 205-206",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102100",
            "telephone_number": "610-374-4963",
            "fax_number": "610-378-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 BERKSHIRE BLVD STE 110",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101222",
            "telephone_number": "610-374-4963",
            "fax_number": "610-378-5403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 Penn Ave",
            "address_2": "Suite 205-206",
            "address_purpose": "LOCATION",
            "city": "Wyomissing",
            "state": "PA",
            "postal_code": "196102100",
            "country_code": "US",
            "telephone_number": "610-374-4963 x3466",
            "fax_number": "610-378-5403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALERIO MEJIA",
        "first_name": "INGRID",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Ann Ungurean
• Pavy Papas Unvala
• Usv Optical Inc.
• Kaitlynn Marie Vacchio, PT, DPT, CSCS
• Michael Joseph Vacchio, M.D.
• Michelle Marie Van Buren, MS ED., NCC
• John T Van Den Bosch, M.D.
• Maurely Vanderpool Estevez
• Soraya A Vanderpool, LSW
• Teorina Vangorden, R.D.

• Clinical Social Worker in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.