Provider Demographics
NPI:1558597419
Name:MERRILL, ELIZABETH H (LCSW, LICSW, LCSW-C)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:H
Last Name:MERRILL
Suffix:
Gender:F
Credentials:LCSW, LICSW, LCSW-C
Other - Prefix:
Other - First Name:LIZ
Other - Middle Name:
Other - Last Name:MERRILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW, LICSW, LCSW-C
Mailing Address - Street 1:4011 OGLETHORPE ST
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-3024
Mailing Address - Country:US
Mailing Address - Phone:202-423-1751
Mailing Address - Fax:
Practice Address - Street 1:4011 OGLETHORPE ST
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-3024
Practice Address - Country:US
Practice Address - Phone:202-423-1751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-05
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500787911041C0700X
VA09040071201041C0700X
MD240611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical