Provider Demographics
NPI:1447455837
Name:MERRICKS, TRINELL ESTELLE (LCSW)
Entity type:Individual
Prefix:MS
First Name:TRINELL
Middle Name:ESTELLE
Last Name:MERRICKS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4513 JEANNIE MARIE PL
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-1877
Mailing Address - Country:US
Mailing Address - Phone:504-259-7477
Mailing Address - Fax:
Practice Address - Street 1:136 S ROMAN ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-3095
Practice Address - Country:US
Practice Address - Phone:504-903-7678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA52201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical