Provider Demographics
NPI:1063505378
Name:PARSONS, NORA GLEE (MSW)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:GLEE
Last Name:PARSONS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1134 HOUGHTON LN
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05201-8082
Mailing Address - Country:US
Mailing Address - Phone:802-442-6766
Mailing Address - Fax:
Practice Address - Street 1:185 NORTH ST
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:VT
Practice Address - Zip Code:05201-1813
Practice Address - Country:US
Practice Address - Phone:802-447-4811
Practice Address - Fax:802-442-1203
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2016-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089-00007271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT39707OtherBCBS
VT713683OtherMVP
VT1008488Medicaid
VT713683OtherMVP