Provider Demographics
NPI:1184769473
Name:MERCIER, AMY L (LICSW)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:MERCIER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:L
Other - Last Name:MERCIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:80 PALOMINO LN STE 101
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6447
Mailing Address - Country:US
Mailing Address - Phone:603-819-3816
Mailing Address - Fax:603-606-1032
Practice Address - Street 1:80 PALOMINO LN STE 101
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6447
Practice Address - Country:US
Practice Address - Phone:603-819-3816
Practice Address - Fax:603-606-1032
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH15511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical