MEDICARE: INEZ PARKER MSW

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
1	171M00000X	Case Manager/Care Coordinator
2	101YM0800X	Mental Health Counselor	S.2308864	OH

General Provider Information

NPI Number	:	1083257125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	INEZ PARKER MSW

Provider Business Mailing Address
First Line	:	830 N SUMMIT ST STE 2
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43604-1884
Country	:	US
Telephone Number	:	419-693-9600
Fax Number	:

Provider Business Practice Location Address
First Line	:	3454 OAK ALLEY CT STE 214
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-1370
Country	:	US
Telephone Number	:	419-740-1836
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2019
Last Update Date	:	06/08/2026

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