Provider Demographics
NPI:1699333229
Name:MERWIN, PATRICIA MILLS (LCSW, MAC, CDC II)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MILLS
Last Name:MERWIN
Suffix:
Gender:F
Credentials:LCSW, MAC, CDC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1457
Mailing Address - Street 2:
Mailing Address - City:SOLDOTNA
Mailing Address - State:AK
Mailing Address - Zip Code:99669-1457
Mailing Address - Country:US
Mailing Address - Phone:907-398-0943
Mailing Address - Fax:
Practice Address - Street 1:245 N BINKLEY ST
Practice Address - Street 2:
Practice Address - City:SOLDOTNA
Practice Address - State:AK
Practice Address - Zip Code:99669-7500
Practice Address - Country:US
Practice Address - Phone:907-714-4614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-29
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK12721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical