Provider Demographics
NPI:1700504057
Name:MERCER, DANAH (LSW)
Entity Type:Individual
Prefix:
First Name:DANAH
Middle Name:
Last Name:MERCER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 W RIDGE PIKE # LL101
Mailing Address - Street 2:
Mailing Address - City:ROYERSFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19468-1716
Mailing Address - Country:US
Mailing Address - Phone:484-537-5431
Mailing Address - Fax:
Practice Address - Street 1:206 W RIDGE PIKE # LL101
Practice Address - Street 2:
Practice Address - City:ROYERSFORD
Practice Address - State:PA
Practice Address - Zip Code:19468-1716
Practice Address - Country:US
Practice Address - Phone:484-369-0986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW138073104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker