Provider Demographics
NPI:1730601139
Name:MERCIER, GARRET SCOTT (LCSW)
Entity type:Individual
Prefix:
First Name:GARRET
Middle Name:SCOTT
Last Name:MERCIER
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 1:20 MUSSEY RD STE 8
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-9570
Mailing Address - Country:US
Mailing Address - Phone:207-295-3675
Mailing Address - Fax:
Practice Address - Street 1:20 MUSSEY RD STE 8
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-9570
Practice Address - Country:US
Practice Address - Phone:207-295-3675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-07
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC181481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical