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MS. KATHRYN MERTZ LCSW-R
NPI 1073702247
Social Worker - Clinical in East Meadow, NY

Active since October 23, 2007PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
423 SUSSEX RD, EAST MEADOW, NY 11554(516) 695-6284 Get Directions Write a Review

NPPES record last updated: July 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kathryn Mertz Lcsw-r NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KATHRYN MERTZ LCSW-R (NPI 1073702247) is an individual clinical provider in East Meadow, New York, licensed in New York (075995) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1073702247
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KATHRYN MERTZCredential: LCSW-R
Location Address423 SUSSEX RDEast Meadow, NY 11554-4227
Mailing Address423 Sussex RdEast Meadow, NY 11554-4227 · (516) 695-6284
Phone(516) 695-6284
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 23, 2007
Last NPPES UpdateJuly 3, 2013
✔ NPI 1073702247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 075995
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
423 SUSSEX RD, East Meadow, NY 11554
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kathryn Mertz Lcsw-r is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294951513
PECOS Enrollment IDI20140723000552
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11554 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn Mertz's NPI number?

The NPI number for Kathryn Mertz is 1073702247. It was assigned to this individual provider in the NPPES registry on October 23, 2007.

Where is Kathryn Mertz located?

Kathryn Mertz practices at 423 Sussex Rd, East Meadow, NY 11554. The listed phone number is (516) 695-6284.

What is Kathryn Mertz's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kathryn Mertz enrolled in Medicare?

Yes. Kathryn Mertz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathryn Mertz accept?

Health plans from Providence Health Plan list Kathryn Mertz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kathryn Mertz affiliated with any hospitals?

According to CMS data, Kathryn Mertz is affiliated with Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Kathryn Mertz was last updated on July 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.