Provider Demographics
NPI:1265880355
Name:MYERS, MERLE (LCSW-C)
Entity type:Individual
Prefix:
First Name:MERLE
Middle Name:
Last Name:MYERS
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8920 WHISKEY BOTTOM RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1318
Mailing Address - Country:US
Mailing Address - Phone:301-470-1620
Mailing Address - Fax:303-410-1624
Practice Address - Street 1:8920 WHISKEY BOTTOM RD
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-1318
Practice Address - Country:US
Practice Address - Phone:301-470-1620
Practice Address - Fax:303-410-1624
Is Sole Proprietor?:No
Enumeration Date:2016-05-30
Last Update Date:2016-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD156241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical