Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Mergendoller, LCSW

Individual provider Clinical Social Worker · NPI 1962017715

Jacob Mergendoller, LCSW is a Clinical Social Worker in New York, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

276 5th Ave Rm 604
New York, NY 10001-4527
Phone: (415) 686-1385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1962017715
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 9, 2020
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025

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