Provider Demographics
NPI:1437182631
Name:MERZ, GWENDOLYN (LCSW-C)
Entity Type:Individual
Prefix:
First Name:GWENDOLYN
Middle Name:
Last Name:MERZ
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 1:1518 CEDARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-2117
Mailing Address - Country:US
Mailing Address - Phone:410-638-0992
Mailing Address - Fax:
Practice Address - Street 1:101 PROSPECT MILL RD
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-1586
Practice Address - Country:US
Practice Address - Phone:410-967-2175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10565104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker