MEDICARE: MR. JOSEPH PAUL PARRINELLO LISW,MSSW

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	#00028	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	53007	OTHER	IA	BLUECROSS/BLUESHIELD ID#

General Provider Information

NPI Number	:	1346286978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH PAUL PARRINELLO LISW,MSSW

Provider Business Mailing Address
First Line	:	3245 VIKING DR
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51104-1839
Country	:	US
Telephone Number	:	712-255-9463
Fax Number	:

Provider Business Practice Location Address
First Line	:	3245 VIKING DR
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51104-1839
Country	:	US
Telephone Number	:	712-255-9463
Fax Number	:

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

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	08/15/2007

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