Elyse Ann Mergenthaler, LCSW
Social Worker, Clinical in Berkeley, CA. Individual provider (NPI-1).
NPI number1760634968
StatusActive
Last updated in NPPESOct 21, 2008
Details
- NPI
- 1760634968
- Entity type
- Individual (NPI-1)
- Name
- Elyse Ann Mergenthaler
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 21, 2008
- Last updated
- Oct 21, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCS14438 | CA | Yes |
Practice location
2425 Channing WaySte. 326
Berkeley, CA 94704-2260
Phone 510-407-6414
Mailing address
2425 Channing WaySte. 326
Berkeley, CA 94704-2260
Phone 510-407-6414
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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