MEDICARE: MRS. MARIA VICENTA MERRITT LMSW, ACSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6801062149	MI

General Provider Information

NPI Number	:	1619035433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIA VICENTA MERRITT LMSW, ACSW

Provider Business Mailing Address
First Line	:	24938 HARPER AVE
Second Line	:
City	:	SAINT CLAIR SHORES
State	:	MI
Zip	:	48080-1242
Country	:	US
Telephone Number	:	586-242-0027
Fax Number	:	313-406-8429

Provider Business Practice Location Address
First Line	:	24938 HARPER AVE
Second Line	:
City	:	SAINT CLAIR SHORES
State	:	MI
Zip	:	48080-1242
Country	:	US
Telephone Number	:	586-242-0027
Fax Number	:	313-406-8429

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	03/24/2026

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