MARIA VICTORIA MERCEDES-MEJIA LCSW
NPI 1316238082
Social Worker - Clinical in Elmhurst, NY
NPI Status: Active since April 28, 2011
Contact Information
7901 BROADWAY
ELMHURST, NY
ZIP 11373
Phone: (718) 803-7075
- Individual
- Female
- Social Worker
- Clinical
- Accepts Insurance
- PECOS Enrolled
About MARIA MERCEDES-MEJIA
This page provides the complete NPI Profile along with additional information for Maria Mercedes-mejia, a provider established in Elmhurst, New York with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1316238082 assigned on April 2011. The practitioner's primary taxonomy code is 1041C0700X with license number 086901 (NY). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1316238082
- Provider Name
- MARIA VICTORIA MERCEDES-MEJIA LCSW
- Other Name
- MARIA VICTORIA MERCEDES LMSW
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 7901 BROADWAY ELMHURST, NY 11373
- Location Phone
- (718) 803-7075
- Mailing Address
- 7901 BROADWAY ELMHURST, NY 11373
- Mailing Phone
- (718) 803-7075
- Mailing Fax
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-28-2011
- Last Update Date
- 07-10-2018
- Code Navigator
A clinical social worker like Maria Mercedes-mejia is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
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 Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 086901
- License State
- NY
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Classic 4700 - HMO
- Bronze Classic Standard - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Gold Classic - HMO
- Gold Classic Standard - HMO
- Secure - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
- Silver Simple PCP Saver - HMO
- Silver Simple Specialist Saver with COPD - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic 4700 - PPO
- Bronze Classic Standard - EPO
- Bronze Classic Standard - PPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Elite + PCP Saver Plus - PPO
- Gold Classic - EPO
- Gold Classic Standard - EPO
- Gold Classic Standard - PPO
- Gold Elite - EPO
- Secure - EPO
- Secure - PPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard - PPO
- Silver Elite Saver Plus - PPO
- Silver Simple Breathe Easy with Enhanced COPD Benefits - EPO
- Silver Simple Breathe Easy with Enhanced COPD Benefits - PPO
- Silver Simple Diabetes - EPO
- Silver Simple Diabetes - PPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic Standard - EPO
- Silver Elite - EPO
- Silver Simple Chronic Care CKM - EPO
- Silver Simple Diabetes - EPO
- Silver Simple PCP Saver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Maria Mercedes-mejia 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: Part B Clinical Laboratory and Imaging and 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: Yes
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
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 11373 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $67
- Maximum New Patient Price $201.98
- Average New Patient Copayment $0
- Minimum New Patient Copayment $16.75
- Maximum New Patient Copayment $50.49
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $82.96
- Minimum Established Patient Price $21.62
- Maximum Established Patient Price $163.52
- Average Established Patient Copayment $20.74
- Minimum Established Patient Copayment $5.4
- Maximum Established Patient Copayment $40.88
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MARIA VICTORIA MERCEDES-MEJIA LCSW
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 1 | 6 | 2 | 3 | 8 | 0 | 8 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 4 | 3 | 16 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 4 + 3 + 1 + 6 + 0 + 1 + 6 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1316238082 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. JOSEPH HALBACH MD
Family Medicine
7901 BROADWAY
ELMHURST HOSPITAL CENTER E6-7
ELMHURST, NY
ZIP 11373
DAVID YOHAI MD
Psychiatry & Neurology
(Neurology)
7901 BROADWAY
ROOM A1 9
ELMHURST, NY
ZIP 11373
GEORGE NICHOLAS CORITSIDIS MD
Internal Medicine
(Nephrology)
7901 BROADWAY
ROOM A1-9
ELMHURST, NY
ZIP 11373
AARON SAUL STERN MD
Internal Medicine
(Nephrology)
7901 BROADWAY
ROOM A1-9
ELMHURST, NY
ZIP 11373
AARON SPITAL MD
Internal Medicine
(Nephrology)
7901 BROADWAY
ROOM A1-9
ELMHURST, NY
ZIP 11373
MICHAEL A. ROTHSCHILD MD
Otolaryngology
(Pediatric Otolaryngology)
7901 BROADWAY
ROOM A1 - 9
ELMHURST, NY
ZIP 11373
DR. JUDITH J. LEVINE MD
Orthopaedic Surgery
7901 BROADWAY
ROOM A1-9
ELMHURST, NY
ZIP 11373
NAEEM AHMAD MD
Anesthesiology
(Pain Medicine)
7901 BROADWAY
ROOM A1-9
ELMHURST, NY
ZIP 11373
WICHAE IM MD
Physical Medicine & Rehabilitation
7901 BROADWAY
ROOM A1-9
ELMHURST, NY
ZIP 11373
IAN MARTINEZ GAMPON M.D.
Pediatrics
(Pediatric Emergency Medicine)
7901 BROADWAY
ROOM A1-9
ELMHURST, NY
ZIP 11373
JOEL BERNARDO CABALLES M.D.
Pediatrics
7901 BROADWAY
ROOM A1-9
ELMHURST, NY
ZIP 11373
THELMA OCAMPO CABATIC M.D.
Pediatrics
(Pediatric Emergency Medicine)
7901 BROADWAY
ROOM A1-9
ELMHURST, NY
ZIP 11373
IYA CHIKVASHVILI M.D.
Pediatrics
(Pediatric Emergency Medicine)
7901 BROADWAY
ROOM A1-9
ELMHURST, NY
ZIP 11373
LISA DIANNE FORMAN M.D.
Pediatrics
7901 BROADWAY
ELMHURST HOSPITAL, ROOM H-116
ELMHURST, NY
ZIP 11373
ALICE NICOLE FELELLA M.D.
Pediatrics
(Adolescent Medicine)
7901 BROADWAY
ROOM A1-9
ELMHURST, NY
ZIP 11373
DEBASIS KANJILAL M.D.
Pediatrics
(Neonatal-Perinatal Medicine)
7901 BROADWAY
ROOM A1-9
ELMHURST, NY
ZIP 11373
TATYANA GABINSKAYA M.D.
Pediatrics
(Neonatal-Perinatal Medicine)
7901 BROADWAY
ROOMM A1-9
ELMHURST, NY
ZIP 11373
CONCEPCION PINEDA SONGCO M.D.
Pediatrics
7901 BROADWAY
ROOM A1-9
ELMHURST, NY
ZIP 11373
MELVIN GERTNER M.D.
Pediatrics
7901 BROADWAY
ROOM A1-9
ELMHURST, NY
ZIP 11373
MARIA DE LOS ANGELES DOMINICIS M.D.
Pediatrics
7901 BROADWAY
ROOM A1-9
ELMHURST, NY
ZIP 11373
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316238082, enumerated as an "individual" on April 28, 2011.
The provider is located at 7901 BROADWAY ELMHURST, NY 11373 and the phone number is (718) 803-7075.
Social Worker with taxonomy code 1041C0700X and a focus in Clinical.
The provider might be accepting Accepts: Oscar Health Plan, Inc., Oscar Insurance Company. Please consult your insurance carrier or call the provider to verify.
