Provider Demographics
NPI:1134313067
Name:PARKHURST, DANIELLE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:
Last Name:PARKHURST
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 HAMLIN PLACE
Mailing Address - Street 2:PO BOX 2
Mailing Address - City:YORK BEACH
Mailing Address - State:ME
Mailing Address - Zip Code:03910-0002
Mailing Address - Country:US
Mailing Address - Phone:207-363-1348
Mailing Address - Fax:
Practice Address - Street 1:4 HAMLIN PLACE
Practice Address - Street 2:
Practice Address - City:YORK BEACH
Practice Address - State:ME
Practice Address - Zip Code:03910-0002
Practice Address - Country:US
Practice Address - Phone:207-363-1348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC112321041C0700X
NH12231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical