Provider Demographics
NPI:1003208885
Name:MERCER, CHERYL J (LCSW)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:J
Last Name:MERCER
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 1:4612 SOMERS POINT RD
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-1686
Mailing Address - Country:US
Mailing Address - Phone:609-204-2692
Mailing Address - Fax:
Practice Address - Street 1:4612 SOMERS POINT RD
Practice Address - Street 2:
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-1686
Practice Address - Country:US
Practice Address - Phone:609-204-2692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC00576800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional