Active NPI
Patricia A Merritt, LCSW
- Clinical Social Worker
- Amherst, NY
National Provider Identifier
1992772834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0700711
- Practice address
- 4955 N Bailey Ave Ste 100
Amherst, NY 14226-1206 - Phone
- (716) 235-1922
- Fax
- (585) 805-5126
- NPI assigned
- Feb 28, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0700711 | NY | Primary |
| Clinical Social Worker | 1041C0700X | 070071-01 | NY |
Addresses
Primary practice location
4955 N Bailey Ave Ste 100
Amherst, NY 14226-1206
Mailing address
173 Hennepin Rd
Grand Island, NY 14072-2322
Phone (716) 235-1922
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00011249905 | Other | ASO | |
| 160975538 | Other | MAGNA CARE | |
| 00011249905 | Other | SENIOR CHOICE | |
| 050725000032 | Other | FIDELIS FAMILY HEALTH PLU | |
| 00011249905 | Other | UNIVERA TRANSITIONS | |
| 00011249905 | Other | PLUS MED | |
| 00011249905 | Other | UNIVERA MEDICARE PPO | |
| 00011249905 | Other | CHILD HEALTH PLUS | |
| 01465154 | Medicaid | NY | |
| 00011249905 | Other | UNIVERA COMMERCIAL | |
| 800010043 | Other | RAILROAD MEDICARE | |
| 00011249905 | Other | UNIVERA HEALTHCARE TRADIT | |
| 000590275001 | Other | BCBS WNY | |
| 050725000032 | Other | FIDELIS CHILD HEALTH PLUS | |
| 050725000032 | Other | FIDELIS MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110112000555 | NY | Practitioner - Clinical Social Worker | 0749479376 | Practice locations: Amherst, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4955 N Bailey Ave
Suite 100
Amherst, NY 14226-1206
Phone (716) 235-1922
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070071-01 | NY | MD | Clinical Social Worker |
| 0700711 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Annie Monaco, LLC | Clinical | Current | Accepting new patients |
Locations
4955 N Bailey Ave
Ste 100
Buffalo, NY 14226
Phone (716) 235-1922
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.
-
- Clinical Social Worker
- Amherst, NY
- NPI 1326539321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1992772834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 HENNEPIN RD",
"city": "GRAND ISLAND",
"state": "NY",
"postal_code": "140722322",
"telephone_number": "716-235-1922",
"fax_number": "585-805-5126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4955 N BAILEY AVE STE 100",
"city": "AMHERST",
"state": "NY",
"postal_code": "142261206",
"telephone_number": "716-235-1922",
"fax_number": "585-805-5126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT",
"first_name": "PATRICIA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "0700711",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "070071-01",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASO",
"identifier": "00011249905",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGNA CARE",
"identifier": "160975538",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENIOR CHOICE",
"identifier": "00011249905",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS FAMILY HEALTH PLU",
"identifier": "050725000032",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA TRANSITIONS",
"identifier": "00011249905",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PLUS MED",
"identifier": "00011249905",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA MEDICARE PPO",
"identifier": "00011249905",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILD HEALTH PLUS",
"identifier": "00011249905",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01465154",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA COMMERCIAL",
"identifier": "00011249905",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "800010043",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA HEALTHCARE TRADIT",
"identifier": "00011249905",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS WNY",
"identifier": "000590275001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS CHILD HEALTH PLUS",
"identifier": "050725000032",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS MEDICAID",
"identifier": "050725000032",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.