Healthcare Provider Details

I. General information

NPI: 1760265011
Provider Name (Legal Business Name): LAUREN DOERFLER PARKER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2023
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2019 RAMBLING RD
KALAMAZOO MI
49008-1630
US

IV. Provider business mailing address

2019 RAMBLING RD
KALAMAZOO MI
49008-1630
US

V. Phone/Fax

Practice location:
  • Phone: 269-345-0909
  • Fax: 269-345-4985
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801122854
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: