Healthcare Provider Details

I. General information

NPI: 1487564423
Provider Name (Legal Business Name): MERCIA GEE LMSW
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 TYDINGS LN
HAVRE DE GRACE MD
21078-2132
US

IV. Provider business mailing address

1114 SANDYSTONE RD APT M
ESSEX MD
21221-4681
US

V. Phone/Fax

Practice location:
  • Phone: 800-799-4673
  • Fax:
Mailing address:
  • Phone: 240-217-7094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number34988
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: