Provider Demographics
NPI:1396789855
Name:MERCER, NANCY (LCSW, LCAS)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:MERCER
Suffix:
Gender:F
Credentials:LCSW, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 MEADOW WALK CT
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-6529
Mailing Address - Country:US
Mailing Address - Phone:828-713-6697
Mailing Address - Fax:828-705-0275
Practice Address - Street 1:60 MEADOW WALK CT
Practice Address - Street 2:
Practice Address - City:FLETCHER
Practice Address - State:NC
Practice Address - Zip Code:28732-6529
Practice Address - Country:US
Practice Address - Phone:828-713-6697
Practice Address - Fax:828-705-0275
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2022-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0037501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6003000Medicaid
NC6003000Medicaid