Provider Demographics
NPI:1144974239
Name:MERCER, JESSE (LCSW)
Entity type:Individual
Prefix:MR
First Name:JESSE
Middle Name:
Last Name:MERCER
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 1:4832 RED ROCK DR
Mailing Address - Street 2:
Mailing Address - City:LARKSPUR
Mailing Address - State:CO
Mailing Address - Zip Code:80118-8423
Mailing Address - Country:US
Mailing Address - Phone:303-653-5410
Mailing Address - Fax:
Practice Address - Street 1:4531 E 19TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-1131
Practice Address - Country:US
Practice Address - Phone:303-653-5410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical