Susan Blanchard Merrick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L6896 Issued in OR

Practice address

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

Phone

(503) 781-3403

NPI assigned

Jul 1, 2016

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

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1780036756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6358 SE 77TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066308",
            "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": "200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042543",
            "telephone_number": "503-781-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRICK",
        "first_name": "SUSAN",
        "middle_name": "BLANCHARD",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Merollis, MOTR/L
• Madison G Meron, MA, MFTA, LMHCA
• Jonathan David Merrell, RN
• Lauren Merrell, DNP, PMHNP-BC
• Catherine Margaret Merrick, OTR/L
• Todd R Merrick, MD
• Lydia M Merrigan, RD, LD
• Allison Merrill
• Courtney Merrill, RDN
• Danae Christine Merrill, LPC

• Clinical Social Worker in Portland, OR
• Providers in Portland, 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 Jul 1, 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.