MEDICARE: SARAH ELIZABETH MERCURIO LCSW

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
1	1041C0700X	Clinical Social Worker	102127	NY

General Provider Information

NPI Number	:	1588244305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ELIZABETH MERCURIO LCSW

Provider Business Mailing Address
First Line	:	145 W 15TH ST FL 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-6701
Country	:	US
Telephone Number	:	212-924-6320
Fax Number	:	646-306-0513

Provider Business Practice Location Address
First Line	:	1420 STEBBINS AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10459-4589
Country	:	US
Telephone Number	:	718-299-3045
Fax Number	:	646-565-9491

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2021
Last Update Date	:	03/02/2026

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