Healthcare Provider Details

I. General information

NPI: 1336077155
Provider Name (Legal Business Name): MERCY HEALTH ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 PLAZA REAL STE 275
BOCA RATON FL
33432-3999
US

IV. Provider business mailing address

1313 W BOYNTON BEACH BLVD STE 1B346
BOYNTON BEACH FL
33426-3436
US

V. Phone/Fax

Practice location:
  • Phone: 561-269-4308
  • Fax:
Mailing address:
  • Phone: 561-269-4308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MERCEDES DERICHO
Title or Position: PROVIDER/THERAPIST
Credential: LCSW
Phone: 561-269-4308