Provider Demographics
NPI:1093950461
Name:PARRIS, DAVID F (LCSW)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:F
Last Name:PARRIS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5048 N MARINE DR
Mailing Address - Street 2:E3
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-3270
Mailing Address - Country:US
Mailing Address - Phone:773-744-9229
Mailing Address - Fax:
Practice Address - Street 1:5048 N MARINE DR
Practice Address - Street 2:E3
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-3270
Practice Address - Country:US
Practice Address - Phone:773-744-9229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-12
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490110651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical