Provider Demographics
NPI:1356358725
Name:POWERS, MERRILL (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:MERRILL
Middle Name:
Last Name:POWERS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:642 OAKHAVEN RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-4030
Mailing Address - Country:US
Mailing Address - Phone:530-852-5066
Mailing Address - Fax:530-888-8793
Practice Address - Street 1:1133 HIGH ST
Practice Address - Street 2:STE B
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-5152
Practice Address - Country:US
Practice Address - Phone:530-852-5066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 194511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical