Deborah Lynn Mertlich, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L3405 Issued in OR

Practice address

4550 Kruse Way
Suite 225
Lake Oswego, OR 97035-3594

Phone

(971) 252-1545

NPI assigned

Apr 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Deborah Mertlich, LCSW

  • Mental Health Counselor
  • Lake Oswego, OR
  • NPI 1609442029
  NPD Authorized official
• Robert W McLellarn, PHD

  • Cognitive & Behavioral Psychologist
  • Portland, OR
  • NPI 1174813539
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1366564338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 SW SWEEK DR",
            "address_2": "#731",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627411",
            "telephone_number": "503-970-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 KRUSE WAY",
            "address_2": "SUITE 225",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353594",
            "telephone_number": "971-252-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTLICH",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mental Health NW LLC
• Chanel Mercado, CCC-SLP
• Juliana Mercer
• George Meredith, L.M.T.
• Mersio Inc
• Cari Mestas
• Mindy Meyers, LMT
• Natalie Mickola, MA, LPC
• Cindy Miguel, M.A.
• Christopher Blaine Mikulic, PSYD

• Clinical Social Worker in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.