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NPI Code Detail

MEDICARE: MS. HEATHER M PARKER LCSW

MEDICARE: MS. HEATHER M 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
11041C0700XClinical Social Worker34006330AIN
21041C0700XClinical Social WorkerSW22541FL
3104100000XSocial Worker

General Provider Information

NPI Number : 1457549644
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HEATHER M PARKER LCSW
Provider Business Mailing Address
First Line : 3815 RIVER CROSSING PKWY STE 100
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46240-7766
Country : US
Telephone Number : 904-469-0117
Fax Number :
Provider Business Practice Location Address
First Line : 4651 SALISBURY RD STE 400
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-6187
Country : US
Telephone Number : 904-469-0117
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2007
Last Update Date : 04/18/2025

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