Provider Demographics
NPI:1679227235
Name:MERK, JULIA (LISW)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:MERK
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1490 BARCLAY BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-6822
Mailing Address - Country:US
Mailing Address - Phone:434-944-5661
Mailing Address - Fax:
Practice Address - Street 1:25111 COUNTRY CLUB BLVD STE 290
Practice Address - Street 2:
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-5330
Practice Address - Country:US
Practice Address - Phone:216-468-5002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-11
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.24055761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical