Provider Demographics
NPI:1003431016
Name:MERCIER, LCSW, HERDYNE
Entity Type:Individual
Prefix:MRS
First Name:HERDYNE
Middle Name:
Last Name:MERCIER, LCSW
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:HERDYNE
Other - Middle Name:
Other - Last Name:FLEURIMOND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MADIAN NAME
Mailing Address - Street 1:300 E OAKLAND PARK BLVD # 117
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-2148
Mailing Address - Country:US
Mailing Address - Phone:954-940-0048
Mailing Address - Fax:
Practice Address - Street 1:1798 NW 39TH CT
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33309-4453
Practice Address - Country:US
Practice Address - Phone:954-940-0048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-15
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW162581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical