Healthcare Provider Details

I. General information

NPI: 1164332524
Provider Name (Legal Business Name): A. MERCER, LCSW, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 NEW LOUDON RD # 147
LATHAM NY
12110-4063
US

IV. Provider business mailing address

2823 TROY SCHENECTADY RD
NISKAYUNA NY
12309-1647
US

V. Phone/Fax

Practice location:
  • Phone: 518-618-2336
  • Fax:
Mailing address:
  • Phone:
  • 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: ACEY MERCER
Title or Position: OWNER/EMPLOYEE
Credential: LCSW
Phone: 518-618-2336