Active NPI
Karolyn Mae Merriman, LCSW
- Clinical Social Worker
- Ferndale, WA
National Provider Identifier
1326331356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW00005842
- Practice address
- 1855 Main Street
#204
Ferndale, WA 98248 - Phone
- (360) 312-1633
- Fax
- (360) 766-4371
- NPI assigned
- May 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW00005842 | WA | Primary |
Addresses
Primary practice location
1855 Main Street
#204
Ferndale, WA 98248
Mailing address
5358 Bellaire Way
Bellingham, WA 98226
Phone (360) 312-1633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW00005842 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417996800000",
"number": "1326331356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5358 BELLAIRE WAY",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "98226",
"telephone_number": "360-312-1633",
"fax_number": "360-766-4371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 MAIN STREET",
"address_2": "#204",
"city": "FERNDALE",
"state": "WA",
"postal_code": "98248",
"telephone_number": "360-312-1633",
"fax_number": "360-766-4371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRIMAN",
"first_name": "KAROLYN",
"middle_name": "MAE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-24",
"last_updated": "2014-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00005842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ferndale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.