Provider Demographics
NPI:1174714810
Name:BERNADINE MERKER LCSW LLC
Entity type:Organization
Organization Name:BERNADINE MERKER LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BERNADINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MERKER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:303-770-0940
Mailing Address - Street 1:7000 E BELLEVIEW AVE
Mailing Address - Street 2:STE 350
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1617
Mailing Address - Country:US
Mailing Address - Phone:303-770-0940
Mailing Address - Fax:303-770-6501
Practice Address - Street 1:7000 E BELLEVIEW AVE
Practice Address - Street 2:STE 350
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-1617
Practice Address - Country:US
Practice Address - Phone:303-770-0940
Practice Address - Fax:303-770-6501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9925251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO534918Medicare PIN