| Doctor Name: | TRACI LEE DEMERCHANT |
| NPI Number: | 1023359593 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 0904007638 |
| Business Practice Address: | 10712 Ballantraye Dr Suite 304 Fredericksburg, VA - 224074702 |
| Business Phone Number: | 5402428970 |
| Business Fax Number: | 5407109299 |
| Mailing Address: | 10712 Ballantraye Dr, Suite 304 FREDERICKSBURG |
| State: | VA |
| Postal Code: | 224074702 |
| Phone Number: | 5402428970 |
| Fax Number: | 5407109299 |
| NPI Enumeration Date: | 03/08/2013 |
| NPI Last Update Date: | 07/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0904007638 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |