Provider Demographics
NPI:1194104455
Name:MERKEL, NATALIE ANN (BSW)
Entity type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:ANN
Last Name:MERKEL
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7593 DEAN RD
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430-9044
Mailing Address - Country:US
Mailing Address - Phone:734-748-9317
Mailing Address - Fax:
Practice Address - Street 1:7593 DEAN RD
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-9044
Practice Address - Country:US
Practice Address - Phone:734-748-9317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical