Healthcare Provider Details

I. General information

NPI: 1588590285
Provider Name (Legal Business Name): ANN MARIE PARKER LISW-CP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 DILL CREEK CT
GREER SC
29650-1074
US

IV. Provider business mailing address

25 DILL CREEK CT
GREER SC
29650-1074
US

V. Phone/Fax

Practice location:
  • Phone: 864-334-8679
  • Fax:
Mailing address:
  • Phone: 864-334-8679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number18958
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: