Basic Information
Provider Information
NPI: 1801144696
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MERCER
FirstName: SHARON
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1994 ALEMANY BLVD
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941123202
CountryCode: US
TelephoneNumber: 4157221291
FaxNumber:  
Practice Location
Address1: 1500 FRANKLIN ST
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941094523
CountryCode: US
TelephoneNumber: 4154747310
FaxNumber: 4154479805
Other Information
ProviderEnumerationDate: 08/27/2012
LastUpdateDate: 03/14/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/17/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500XLPCC9159CAY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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