CARLEEN M RILEY-MERCADO LMSW
NPI 1427646983
Social Worker - Clinical in Grand Rapids, MI

Active since January 09, 2021PECOS EnrolledAccepts Medicare Assignment
300 LAFAYETTE AVE SE STE 4000, GRAND RAPIDS, MI 49503(616) 685-6922(616) 685-5101 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2022, Jan 9, 2021 (2 updates tracked since 2021).

About Carleen M Riley-mercado Lmsw NPPES

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

CARLEEN M RILEY-MERCADO LMSW (NPI 1427646983) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801113613) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and maintains a secondary practice location in Westfield.

NPPES Registry Identity

NPI1427646983
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCARLEEN M RILEY-MERCADOCredential: LMSW
Location Address300 LAFAYETTE AVE SE STE 4000Grand Rapids, MI 49503-4692
Mailing AddressPo Box 776974Chicago, IL 60677-6982 · (231) 672-2119
Fax(616) 685-5101
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 9, 2021
Last NPPES UpdateDecember 7, 20222 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
NPI 1427646983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801113613
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.
Also ListedCounselorTaxonomy 101Y00000X · License 34008995A (IN)
300 LAFAYETTE AVE SE STE 4000, Grand Rapids, MI 49503

Secondary Practice Location 1

Location 116974 Puntledge DrWestfield, IN 46062-6519 · Phone (317) 777-5654

Accepted 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

Carleen M Riley-mercado Lmsw 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 ID6305215518
PECOS Enrollment IDI20221210000056
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.

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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 $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
300 LAFAYETTE AVE SE STE 4000
GRAND RAPIDS, MI 49503
Family Medicine
300 LAFAYETTE AVE SE STE 4000
GRAND RAPIDS, MI 49503
Family Medicine
300 LAFAYETTE AVE SE STE 4000
GRAND RAPIDS, MI 49503
Family Medicine
300 LAFAYETTE AVE SE STE 4000
GRAND RAPIDS, MI 49503
Family Medicine
300 LAFAYETTE AVE SE STE 4000
GRAND RAPIDS, MI 49503
Family Medicine
300 LAFAYETTE AVE SE STE 4000
GRAND RAPIDS, MI 49503
Social Worker
300 LAFAYETTE AVE SE STE 4000
GRAND RAPIDS, MI 49503
Family Medicine
300 LAFAYETTE AVE SE STE 4000
GRAND RAPIDS, MI 49503

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 Carleen Riley-mercado's NPI number?

The NPI number for Carleen Riley-mercado is 1427646983. It was assigned to this individual provider in the NPPES registry on January 9, 2021.

Where is Carleen Riley-mercado located?

Carleen Riley-mercado practices at 300 Lafayette Ave SE Ste 4000, Grand Rapids, MI 49503. The listed phone number is (616) 685-6922.

What is Carleen Riley-mercado's specialty?

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

Is Carleen Riley-mercado enrolled in Medicare?

Yes. Carleen Riley-mercado 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 Carleen Riley-mercado accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Carleen Riley-mercado 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 Carleen Riley-mercado affiliated with any hospitals?

According to CMS data, Carleen Riley-mercado is affiliated with Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Carleen Riley-mercado was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.