Provider Demographics
NPI:1710244520
Name:JONES-MERCER, PRISCILLA OPHELIA (LCSW-C; SAP;)
Entity Type:Individual
Prefix:MRS
First Name:PRISCILLA
Middle Name:OPHELIA
Last Name:JONES-MERCER
Suffix:
Gender:F
Credentials:LCSW-C; SAP;
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 PAINTERS MILL RD STE 204
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3657
Mailing Address - Country:US
Mailing Address - Phone:443-904-1372
Mailing Address - Fax:
Practice Address - Street 1:66 PAINTERS MILL RD STE 204
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-3657
Practice Address - Country:US
Practice Address - Phone:667-303-3204
Practice Address - Fax:667-303-3560
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-18
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD076841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1972929370OtherSOCIAL WORK; LCSW-C; SAP