MEDICARE: JOYCE PARSON LISW/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
1	1041C0700X	Clinical Social Worker	I.0700388-SUPV	OH

General Provider Information

NPI Number	:	1295062586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOYCE PARSON LISW/LCSW

Provider Business Mailing Address
First Line	:	8235 OLD TROY PIKE # 280
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45424-1025
Country	:	US
Telephone Number	:	937-476-7045
Fax Number	:	937-476-7049

Provider Business Practice Location Address
First Line	:	3840 REINWOOD DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45414-2446
Country	:	US
Telephone Number	:	937-476-7045
Fax Number	:	937-476-7049

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

Provider Enumeration Date	:	11/08/2009
Last Update Date	:	06/26/2019

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