Provider Demographics
NPI:1356548937
Name:PEARL, MERRIE MILLER (CSW)
Entity type:Individual
Prefix:MS
First Name:MERRIE
Middle Name:MILLER
Last Name:PEARL
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 OCTAVIA ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-6533
Mailing Address - Country:US
Mailing Address - Phone:504-864-8962
Mailing Address - Fax:
Practice Address - Street 1:5104 DANNEEL ST
Practice Address - Street 2:SUITE 4
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-4908
Practice Address - Country:US
Practice Address - Phone:504-899-8003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY059781-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker