Melinda Jennifer Merrill, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC11520 Issued in ME

Practice address

6 State St Ste 617
Bangor, ME 04401-5140

Phone

(207) 745-6345

NPI assigned

Apr 14, 2008

Last updated

Jul 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Possibilities Counseling Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Auburn, ME
  • NPI 1235209750
  NPD (past)

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1801060603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 STATE ST STE 617",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015140",
            "telephone_number": "207-745-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 STATE ST STE 617",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015140",
            "telephone_number": "207-745-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "MELINDA",
        "middle_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC11520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "LC11520",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Ann Merchant, LADC, CCS
• Jasmine A Merchant, LCSW
• John K Merchant, PHARMD
• Carrie Anne Mercier, CNP
• Meridian Mobile Health LLC (Capital Ambulance)
• Virginia M Merrill, PMHNP
• Denise Merritt, MD
• Gena Merritt, RN
• Makayla Bryn Merry, BCBA
• Mert Enterprises, Inc.

• Clinical Social Worker in Bangor, ME
• Providers in Bangor, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.