Provider Demographics
NPI:1104984228
Name:MERKER, BERNADINE (MS LCSW)
Entity type:Individual
Prefix:
First Name:BERNADINE
Middle Name:
Last Name:MERKER
Suffix:
Gender:F
Credentials:MS LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6093 S QUEBEC ST STE 100
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4543
Mailing Address - Country:US
Mailing Address - Phone:303-770-0940
Mailing Address - Fax:303-770-6501
Practice Address - Street 1:6093 S QUEBEC ST STE 100
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-4543
Practice Address - Country:US
Practice Address - Phone:303-770-0940
Practice Address - Fax:303-770-6501
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9925251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO559683OtherVALUE OPTIONS
CO559683OtherVALUE OPTIONS