Provider Demographics
NPI:1679888135
Name:MERLIS, DANIEL TALBOT (MSW)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:TALBOT
Last Name:MERLIS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3825 MORRISON ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-2806
Mailing Address - Country:US
Mailing Address - Phone:202-364-3637
Mailing Address - Fax:
Practice Address - Street 1:3825 MORRISON ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-2806
Practice Address - Country:US
Practice Address - Phone:202-364-3637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical