Nancy Merlo, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.103457 Issued in IL

Practice address

5230 6TH Street Frontage Rd E
Springfield, IL 62703-5128

Phone

(217) 585-1180

NPI assigned

Feb 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Nancy Parra Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Outreach Community Ministries Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Wheaton, IL
  • NPI 1255443669

  Clinical

  NPD (past)
• Outreach Warrenville

  • Adolescent and Children Mental Health Clinic/Center
  • Warrenville, IL
  • NPI 1679130793

  Clinical

  NPD (past)

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1982160537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 PINEHURST DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043122",
            "telephone_number": "630-229-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 6TH STREET FRONTAGE RD E",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035128",
            "telephone_number": "217-585-1180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28W542 Batavia Rd",
            "address_purpose": "LOCATION",
            "city": "Warrenville",
            "state": "IL",
            "postal_code": "60555",
            "country_code": "US",
            "telephone_number": "630-393-7057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERLO",
        "first_name": "NANCY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022022",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.103457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "PARRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mental Health Centers of Central Illinois
• Mental Health Centers of Central Illinois
• Mental Health Centers of Central Illinois
• Mental Health Savage LLC
• Haley Merical
• Maria Catalina Merrick, DO
• Cynthia T Merritt, CCC-A
• Marvin Merriweather Jr.
• Rachael Messenger
• Andrew W Messmore, APN

• Social Worker in Springfield, IL
• Providers in Springfield, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.