Provider Demographics
NPI:1700220118
Name:MERGNER, SHERRY COLLETTE (LCSW)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:COLLETTE
Last Name:MERGNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 RENEE LYNNE CT.
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510
Mailing Address - Country:US
Mailing Address - Phone:919-966-5171
Mailing Address - Fax:919-966-2230
Practice Address - Street 1:101 RENEE LYNNE CT
Practice Address - Street 2:
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510
Practice Address - Country:US
Practice Address - Phone:919-966-5171
Practice Address - Fax:919-966-2230
Is Sole Proprietor?:No
Enumeration Date:2013-04-29
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0004541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical