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General NPI Number Information
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NPI Number | 1033701487
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Entity Type | Individual
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Provider Name | TANYA M PARKER LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/08/2021
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 340 OLD MILL RD SPC 62
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City | SANTA BARBARA
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State | CA
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Zip | 93110-3724
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Country | US
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Telephone | 314-619-2489
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Fax |
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Provider Business Mailing Address
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Address Line | 4237 MCPHERSON AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63108-2907
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Country | US
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Telephone | 314-619-2489
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.022954
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2024016102
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 121560
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License Number State | CA
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