Provider Demographics
NPI:1598886509
Name:HAWORTH, MERION (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MERION
Middle Name:
Last Name:HAWORTH
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9219 RIVERBEND AVE SW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87121-5411
Mailing Address - Country:US
Mailing Address - Phone:505-270-9282
Mailing Address - Fax:
Practice Address - Street 1:9219 RIVERBEND AVE SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87121-5411
Practice Address - Country:US
Practice Address - Phone:505-270-9282
Practice Address - Fax:505-821-9060
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-00831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical