Provider Demographics
NPI:1740812239
Name:STILES, MERI (MSW LICSW PHD)
Entity type:Individual
Prefix:DR
First Name:MERI
Middle Name:
Last Name:STILES
Suffix:
Gender:F
Credentials:MSW LICSW PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNSBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05819-1425
Mailing Address - Country:US
Mailing Address - Phone:716-480-6480
Mailing Address - Fax:
Practice Address - Street 1:172 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:SAINT JOHNSBURY
Practice Address - State:VT
Practice Address - Zip Code:05819-1425
Practice Address - Country:US
Practice Address - Phone:716-480-6480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089.00780081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical