Provider Demographics
NPI:1831136282
Name:SHUER, MERY LYNN (LSCW)
Entity Type:Individual
Prefix:
First Name:MERY
Middle Name:LYNN
Last Name:SHUER
Suffix:
Gender:F
Credentials:LSCW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 GREGORY LN
Mailing Address - Street 2:STE. 305
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-3386
Mailing Address - Country:US
Mailing Address - Phone:925-228-3544
Mailing Address - Fax:925-228-3544
Practice Address - Street 1:81 GREGORY LN
Practice Address - Street 2:STE. 305
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-3386
Practice Address - Country:US
Practice Address - Phone:925-228-3544
Practice Address - Fax:925-228-3544
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS99431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00145Medicare UPIN
CA149920Medicare UPIN
CAZZZ30189ZMedicare ID - Type Unspecified