Elyse Ann Mergenthaler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS14438 Issued in CA

Practice address

2425 Channing Way
Ste. 326
Berkeley, CA 94704-2260

Phone

(510) 407-6414

NPI assigned

Oct 21, 2008

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1760634968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 CHANNING WAY",
            "address_2": "STE. 326",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042260",
            "telephone_number": "510-407-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 CHANNING WAY",
            "address_2": "STE. 326",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042260",
            "telephone_number": "510-407-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERGENTHALER",
        "first_name": "ELYSE",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS14438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Mohammad Merchant, MEDICAL DEGREE
• Deanna L Mercier, M.ED., BCBA
• Stacey Lynn Meredith, MD
• Zachary Haskell Meredith, LCSW
• Rebekah Meresman
• Jesse Merjil, LCSW
• Maudisa Magona Meroe, LCSW
• Jennie Merovick, LCSW
• Thomas F Merrifield, PH.D.
• Margaret Merson, MA, MFT

• Clinical Social Worker in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.