Provider Demographics
NPI:1114915865
Name:BRENNER, MERLE LEMLER (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MERLE
Middle Name:LEMLER
Last Name:BRENNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E 27TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9230
Mailing Address - Country:US
Mailing Address - Phone:212-683-2189
Mailing Address - Fax:212-686-7850
Practice Address - Street 1:200 E 27TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9230
Practice Address - Country:US
Practice Address - Phone:212-683-2189
Practice Address - Fax:212-686-7850
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR026586-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical