Deborah Mertlich, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DEBORAH MERTLICH, LCSW

Practice address

4550 Kruse Way Ste 340
Lake Oswego, OR 97035-3586

Phone

(971) 252-1545

Fax

(844) 303-5253

NPI assigned

May 27, 2021

Organization subpart

No

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

Authorized official

Name

Deborah Lynn Mertlich, LCSWNPI 1366564338

Title

Owner/ President

Phone

(971) 252-1545

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah Lynn Mertlich, LCSW

  • Clinical Social Worker
  • Lake Oswego, OR
  • NPI 1366564338
  NPD Authorized official

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1609442029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 KRUSE WAY STE 340",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353586",
            "telephone_number": "971-252-1545",
            "fax_number": "844-303-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 KRUSE WAY STE 340",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353586",
            "telephone_number": "971-252-1545",
            "fax_number": "844-303-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH MERTLICH, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "MERTLICH",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "971-252-1545",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE AND SELF PAY",
            "identifier": "L3405",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Lynn De Turk, LMT
• Laila Deardorff, P.T.
• Isabel Deaver, LPC
• Kim Deaver, ATC
• Eleanor B Debakker, PT
• Samantha Dela Cruz
• Cyndee Delarocha, MASSAGE THERAPIST
• Deni R Buss, LMT
• Timothy M Denman, MD
• Karma L. Denmark, ND

• Mental Health Counselor in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.