Provider Demographics
NPI:1922879444
Name:MARQUEZ, MERCEDES (LCSW)
Entity Type:Individual
Prefix:
First Name:MERCEDES
Middle Name:
Last Name:MARQUEZ
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 1:12210 MONTWOOD DR STE 103
Mailing Address - Street 2:PMB 1005
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79928-1785
Mailing Address - Country:US
Mailing Address - Phone:915-667-8559
Mailing Address - Fax:
Practice Address - Street 1:12210 MONTWOOD DR STE 103
Practice Address - Street 2:PMB 1005
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79928-1785
Practice Address - Country:US
Practice Address - Phone:915-667-8559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX610711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical