MRS. MARYJANE LESNICK MERTZ LCSW ACSW DCSW
NPI 1265552509
Social Worker in North Huntingdon, PA

NPI Status: Active since March 30, 2007

Contact Information

9290 BARNES LAKE ROAD
NORTH HUNTINGDON, PA
ZIP 15642
Phone: (412) 303-7602
Fax: (724) 515-5146

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  • Individual
  • Female
  • Social Worker
  • PECOS Enrolled

About MARYJANE MERTZ

This page provides the complete NPI Profile along with additional information for Maryjane Mertz, a provider established in North Huntingdon, Pennsylvania with a medical specialization in Social Worker. The healthcare provider is registered in the NPI registry with number 1265552509 assigned on March 2007. The practitioner's primary taxonomy code is 104100000X with license number CW001836L (PA). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1265552509
Provider Name
MRS. MARYJANE LESNICK MERTZ LCSW ACSW DCSW
Other Name
MARYJANE LESNICK MERTZ LCSW ACSW DCSW
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
9290 BARNES LAKE ROAD NORTH HUNTINGDON, PA 15642
Location Phone
(412) 303-7602
Location Fax
(724) 515-5146
Mailing Address
9290 BARNES LAKE ROAD NORTH HUNTINGDON, PA 15642
Mailing Phone
(412) 303-7602
Mailing Fax
(724) 515-5146
Is Sole Proprietor?
Yes
Enumeration Date
03-30-2007
Last Update Date
08-21-2012
Code Navigator

A social worker like Maryjane Mertz helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker

Taxonomy Code
104100000X
Type
Behavioral Health & Social Service Providers
License No.
CW001836L
License State
PA
Taxonomy Description
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
645403MEDICARE ID-TYPE UNSPECIFIED (04)PA 
IP134265MEDICARE UPIN (02) 
R08084MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Maryjane Mertz is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MRS. MARYJANE LESNICK MERTZ LCSW ACSW DCSW

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1265552509, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 1 + 0 + 5 + 4 + 5 + 0 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1265552509.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265552509, enumerated as an "individual" on March 30, 2007.

The provider is located at 9290 BARNES LAKE ROAD NORTH HUNTINGDON, PA 15642 and the phone number is (412) 303-7602.

Social Worker with taxonomy code 104100000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.