Jennifer Lynn Mertrud, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006970 Issued in NC

Practice address

3727 Benson Dr
Raleigh, NC 27609-7324

Phone

(919) 397-5111

NPI assigned

Sep 26, 2010

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": "1285459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1811206824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 PLEASANT UNION CHURCH RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147118",
            "telephone_number": "919-397-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 BENSON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097324",
            "telephone_number": "919-397-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTRUD",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-26",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn Merritt, LCMHCA
• Chase Merritt, LCMHCA
• James M Merritt, MD
• Racquel Merritt, LCSW, LCAS
• Hollis L Mertens, NP
• Timothy R. Mertz, PHYSICAL THERAPIST
• Rosa Yueh Messer, MD
• Terry Michael Messer, M.D.
• David R Messerly, MD
• Carolina Messick, LCMHCA

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.