Provider Demographics
NPI:1043637036
Name:MERSKY, IRIS (LCSW-C)
Entity Type:Individual
Prefix:
First Name:IRIS
Middle Name:
Last Name:MERSKY
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14001 N COMMONS WAY
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2601
Mailing Address - Country:US
Mailing Address - Phone:301-335-9691
Mailing Address - Fax:
Practice Address - Street 1:14001 N COMMONS WAY
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20854-2601
Practice Address - Country:US
Practice Address - Phone:301-335-9691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD062901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical