Individual provider Active NPI

Patricia A Merritt, LCSW

  • Clinical Social Worker
  • Amherst, NY
National Provider Identifier
1992772834
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0700711 Issued in NY
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

Updated by the provider on Aug 15, 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 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

IdentifierTypeStateIssuer
00011249905OtherASO
160975538OtherMAGNA CARE
00011249905OtherSENIOR CHOICE
050725000032OtherFIDELIS FAMILY HEALTH PLU
00011249905OtherUNIVERA TRANSITIONS
00011249905OtherPLUS MED
00011249905OtherUNIVERA MEDICARE PPO
00011249905OtherCHILD HEALTH PLUS
01465154MedicaidNY
00011249905OtherUNIVERA COMMERCIAL
800010043OtherRAILROAD MEDICARE
00011249905OtherUNIVERA HEALTHCARE TRADIT
000590275001OtherBCBS WNY
050725000032OtherFIDELIS CHILD HEALTH PLUS
050725000032OtherFIDELIS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
070071-01NYMDClinical Social Worker
0700711NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Annie Monaco, LLC Clinical CurrentSince Oct 4, 2020 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.

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

Verify at the official NPI Registry.