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JACK MERVIN
NPI 1760033021
Social Worker - Clinical in Sandpoint, ID

Active since September 26, 2019
506 N 4TH AVE, SANDPOINT, ID 83864(208) 263-5393 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 22, 2020, Sep 26, 2019 (2 updates tracked since 2019).

About Jack Mervin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK MERVIN (NPI 1760033021) is an individual clinical provider in Sandpoint, Idaho, licensed in Idaho (LMSW-39059) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1760033021
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACK MERVIN
Location Address506 N 4TH AVESandpoint, ID 83864-1513
Mailing Address506 N 4th AveSandpoint, ID 83864-1513 · (208) 263-5393
Phone(208) 263-5393
Sole ProprietorNo
Enumeration DateSeptember 26, 2019
Last NPPES UpdateJanuary 22, 20202 updates tracked since enumeration
✔ NPI 1760033021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ID · LMSW-39059
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
506 N 4TH AVE, Sandpoint, ID 83864
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LACEY N OLSON LCSW
Social Worker (Clinical)
506 N 4TH AVE
SANDPOINT, ID 83864
Bonner County (208) 263-5393
JANICE CAROL ROTHMEYER LCPC
Counselor (Professional)
506 N 4TH AVE
SANDPOINT, ID 83864
Bonner County (208) 263-5393
SANDPOINT PSYCHOTHERAPY LLC
Counselor (Mental Health)
506 N 4TH AVE
SANDPOINT, ID 83864
Bonner County (208) 263-5393
SHANNON HURD LPC
Counselor (Professional)
506 N 4TH AVE
SANDPOINT, ID 83864
Bonner County (208) 263-5394
MORGAN DOUGLAS
Counselor (Mental Health)
506 N 4TH AVE
SANDPOINT, ID 83864
Bonner County (208) 263-5393
JULIE PITRE L.P.C.
Counselor (Professional)
506 N 4TH AVE
SANDPOINT, ID 83864
Bonner County (208) 263-5393
MS. ELEANOR RAND GURLEY LCSW
Social Worker (Clinical)
506 N 4TH AVE
SANDPOINT, ID 83864
Bonner County (208) 263-5393
MRS. LINDA D FUCONE LCSW
Social Worker (Clinical)
506 N 4TH AVE
SANDPOINT, ID 83864
Bonner County (208) 263-5393

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Mervin's NPI number?

The NPI number for Jack Mervin is 1760033021. It was assigned to this individual provider in the NPPES registry on September 26, 2019.

Where is Jack Mervin located?

Jack Mervin practices at 506 N 4th Ave, Sandpoint, ID 83864. The listed phone number is (208) 263-5393.

What is Jack Mervin's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jack Mervin was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.