Healthcare Provider Details

I. General information

NPI: 1487579215
Provider Name (Legal Business Name): CHRISANN MERRICK, LICSW PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 WASHINGTON ST STE 403
HANOVER MA
02339-2473
US

IV. Provider business mailing address

720 WASHINGTON ST STE 403
HANOVER MA
02339-2473
US

V. Phone/Fax

Practice location:
  • Phone: 339-788-1245
  • Fax:
Mailing address:
  • Phone: 339-788-1245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. CHRISANN MERRICK
Title or Position: CLINICAL SOCIAL WORKER
Credential: LICSW
Phone: 339-788-1245