Provider Demographics
NPI:1972927036
Name:MERLIS, DEANY LALIOTIS (MSW)
Entity type:Individual
Prefix:MRS
First Name:DEANY
Middle Name:LALIOTIS
Last Name:MERLIS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:DEANY
Other - Middle Name:
Other - Last Name:LALIOTIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:3931 JENIFER ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-1960
Mailing Address - Country:US
Mailing Address - Phone:202-364-3637
Mailing Address - Fax:202-600-2836
Practice Address - Street 1:3931 JENIFER ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-1960
Practice Address - Country:US
Practice Address - Phone:202-364-3637
Practice Address - Fax:202-600-2836
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-10
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD086481041C0700X
DCL500788301041C0700X
DCLC500788301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical