Provider Demographics
NPI:1962618777
Name:MUNSON-AMARO, MERCEDES JEANNETTE (LCSW, MSW)
Entity type:Individual
Prefix:MRS
First Name:MERCEDES
Middle Name:JEANNETTE
Last Name:MUNSON-AMARO
Suffix:
Gender:F
Credentials:LCSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:741 MOUNT LUCAS RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-1911
Mailing Address - Country:US
Mailing Address - Phone:723-259-2868
Mailing Address - Fax:
Practice Address - Street 1:3811 BLOOMINGDALE DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-5558
Practice Address - Country:US
Practice Address - Phone:723-259-2868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053500001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical