Individual provider Active NPI

Mertonance Larochel

  • Clinical Social Worker
  • Methuen, MA
National Provider Identifier
1922716539
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
10 Washington St Apt 33
Methuen, MA 01844-6928
Phone
(239) 784-3876
NPI assigned
Nov 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NA MA
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

10 Washington St Apt 33
Methuen, MA 01844-6928

Mailing address

10 Washington St Apt 33
Methuen, MA 01844-6928
Phone (239) 784-3876

Other practice location 1

1 Westinghouse Plz Ste A216
Boston, MA 02136-2167
Phone (617) 910-9784

Other identifiers 2

IdentifierTypeStateIssuer
MAMedicaidMA
MAOtherMAMASS HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Icanotes Health Information Exchange (HIE)

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

Practice roles

OrganizationSpecialtyStatusNew patients
Light House Behavioral Health and Wellness Center Inc. PastSince Apr 24, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1922716539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WASHINGTON ST APT 33",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018446928",
            "telephone_number": "239-784-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WASHINGTON ST APT 33",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018446928",
            "telephone_number": "239-784-3876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Westinghouse Plz Ste A216",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021362167",
            "country_code": "US",
            "telephone_number": "617-910-9784",
            "fax_number": "617-910-9784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAROCHEL",
        "first_name": "MERTONANCE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "NA",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MA",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS HEALTH",
            "identifier": "MA",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Icanotes",
            "affiliation": "N",
            "endpointDescription": "Icanotes system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Westinghouse Plz Ste A216",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021362167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.