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NPI Code Detail

MEDICARE: MARIA PARKER LCSW

MEDICARE: MARIA PARKER LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker090310NY
21041C0700XClinical Social Worker085586NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033549506
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA PARKER LCSW
Provider Business Mailing Address
First Line : 381 KENMORE AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14223-2861
Country : US
Telephone Number : 716-445-8337
Fax Number :
Provider Business Practice Location Address
First Line : 381 KENMORE AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14223-2861
Country : US
Telephone Number : 716-445-8337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2013
Last Update Date : 08/25/2019

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Directions to “ MARIA PARKER LCSW” Practice Location

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