MEDICARE: ELYSE ANN MERGENTHALER LCSW

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	LCS14438	CA

General Provider Information

NPI Number	:	1760634968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELYSE ANN MERGENTHALER LCSW

Provider Business Mailing Address
First Line	:	2425 CHANNING WAY
Second Line	:	STE. 326
City	:	BERKELEY
State	:	CA
Zip	:	94704-2260
Country	:	US
Telephone Number	:	510-407-6414
Fax Number	:

Provider Business Practice Location Address
First Line	:	2425 CHANNING WAY
Second Line	:	STE. 326
City	:	BERKELEY
State	:	CA
Zip	:	94704-2260
Country	:	US
Telephone Number	:	510-407-6414
Fax Number	:

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

Provider Enumeration Date	:	10/21/2008
Last Update Date	:	10/21/2008

Similar Medicare Providers

1275656191 — DR. NATALIA VASYLYK D.D.S.
Practice Location Address:

2425 CHANNING WAY # 201
BERKELEY, CA
94704-2260

Practice Phone: 510-866-6118
Practice Fax:

1700303187 — KELLY LYNN KNOWLES
Practice Location Address:

2425 CHANNING WAY STE B
BERKELEY, CA
94704-2260

Practice Phone: 510-296-5401
Practice Fax:

1346724788 — INSPIRE BEHAVIORAL LEARNING, LLC
Practice Location Address:

2425 CHANNING WAY STE B
BERKELEY, CA
94704-2260

Practice Phone: 510-296-5401
Practice Fax:

1871427757 — PHOENIX SANDS LLC
Practice Location Address:

2700 SAN PABLO AVE APT 102
BERKELEY, CA
94702-2260

Practice Phone: 510-417-0551
Practice Fax:

1235113077 — MS. KAREN M ROSE MFT
Practice Location Address:

2000 HEARST AVE STE 203A
BERKELEY, CA
94709-2260

Practice Phone: 510-486-1188
Practice Fax: 720-204-4534

1942588181 — ANNICE ORMISTON PSYD
Practice Location Address:

2000 HEARST AVE STE 207
BERKELEY, CA
94709-2260

Practice Phone: 510-852-9322
Practice Fax: 888-972-2231

Directions to “ ELYSE ANN MERGENTHALER LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.