Provider Demographics
NPI:1447995774
Name:MERRIMAN, VALERIE JORDAN (LMSW)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:JORDAN
Last Name:MERRIMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21901 S VICTORY RD
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:KS
Mailing Address - Zip Code:66083-9660
Mailing Address - Country:US
Mailing Address - Phone:913-357-5381
Mailing Address - Fax:913-222-1912
Practice Address - Street 1:21901 S VICTORY RD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:KS
Practice Address - Zip Code:66083-9660
Practice Address - Country:US
Practice Address - Phone:913-357-5381
Practice Address - Fax:913-222-1912
Is Sole Proprietor?:No
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS12263104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker