Provider Demographics
NPI:1225127640
Name:MERLAN, JULIO (LCSW)
Entity type:Individual
Prefix:
First Name:JULIO
Middle Name:
Last Name:MERLAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7525 MAUDE ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:TWENTYNINE PALMS
Mailing Address - State:CA
Mailing Address - Zip Code:92277-3918
Mailing Address - Country:US
Mailing Address - Phone:760-333-1617
Mailing Address - Fax:
Practice Address - Street 1:7525 MAUDE ADAMS AVE
Practice Address - Street 2:
Practice Address - City:29 PALMS
Practice Address - State:CA
Practice Address - Zip Code:92277-3918
Practice Address - Country:US
Practice Address - Phone:760-333-1617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS233111041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical