Provider Demographics
NPI:1598231557
Name:MERCIER, GEORGE ANDREW (MSW, LICSW)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:ANDREW
Last Name:MERCIER
Suffix:
Gender:M
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 CROWN ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-1111
Mailing Address - Country:US
Mailing Address - Phone:413-427-3929
Mailing Address - Fax:
Practice Address - Street 1:26 CROWN ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-1111
Practice Address - Country:US
Practice Address - Phone:413-427-3929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MASW10175761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical