Individual provider · Type 1 NPI
Matthew Bushway Mercer, LICDC, LSW
Addiction (Substance Use Disorder) Counselor · Ironton, OH
NPI number
1528792801
Active
Practice location
700 Park Ave
Ironton, OH 45638-1502
Fax (740) 879-0599
Mailing address
PO Box 108
Ironton, OH 45638-0108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LICDC.163024 (OH) |
| Case Manager/Care Coordinator | 171M00000X | CDCA.185422 (OH) |
| Social Worker | 104100000X | S.2512894 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1528792801
Matthew Bushway Mercer, LICDC, LSW's National Provider Identifier is 1528792801, issued on Jul 13, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ironton, OH. The record was last updated on Jun 15, 2026.