Susan B Merrick, LCSW, DCSW, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

L6896 Issued in OR

Legal business name

SUSAN B MERRICK, LCSW, DCSW, LLC

Practice address

510 SW 3Rd Ave
Suite 200
Portland, OR 97204-2543

Phone

(503) 781-3403

NPI assigned

Sep 8, 2016

Last updated

Sep 8, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Susan Blanchard Merrick, LCSWNPI 1780036756

Title

Owner

Phone

(503) 781-3403

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Blanchard Merrick, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1780036756
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1013464809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86706",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972860706",
            "telephone_number": "503-781-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 SW 3RD AVE",
            "address_2": "SUITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042543",
            "telephone_number": "503-781-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN B MERRICK, LCSW, DCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "MERRICK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "BLANCHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-781-3403",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "L6896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Susan Saccomanno ND Lac Inc
• Susan Strom, DC, PC
• Susannah Castle PSYD LLC
• Alex Susbauer, LMT, BCSI (CM)

• Community/Behavioral Health Agency in Portland, OR
• Providers in Portland, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.