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NPI Code Detail

MEDICARE: NICOLE MERKOVSKY LMSW

MEDICARE: NICOLE MERKOVSKY LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker125137-01NY

General Provider Information

NPI Number : 1326999483
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE MERKOVSKY LMSW
Provider Business Mailing Address
First Line : 2570 ROUTE 9W STE 10
Second Line :
City : CORNWALL
State : NY
Zip : 12518-1370
Country : US
Telephone Number : 845-220-3100
Fax Number :
Provider Business Practice Location Address
First Line : 147 LAKE ST
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-5263
Country : US
Telephone Number : 845-563-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 03/09/2026

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Directions to “ NICOLE MERKOVSKY LMSW” Practice Location

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