Active NPI
Kahli Mercik, LCSW
- Clinical Social Worker
- Goshen, NY
National Provider Identifier
1992109250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 081838
- Practice address
- 36 St John St
Suite 102
Goshen, NY 10924-1541 - Phone
- (646) 246-5938
- Fax
- (866) 405-2486
- NPI assigned
- Oct 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 081838 | NY | Primary |
Addresses
Primary practice location
36 St John St
Suite 102
Goshen, NY 10924-1541
Mailing address
230 North Rd
Poughkeepsie, NY 12601-1328
Phone (845) 486-2703
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081838 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery in Tune, LLC | Past | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484352000000",
"number": "1992109250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 NORTH RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011328",
"telephone_number": "845-486-2703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 ST JOHN ST",
"address_2": "SUITE 102",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109241541",
"telephone_number": "646-246-5938",
"fax_number": "866-405-2486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCIK",
"first_name": "KAHLI",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-15",
"last_updated": "2017-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "081838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.