Provider Demographics
NPI:1265864714
Name:PARKMAN, SUSAN BERNHEIMER (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:BERNHEIMER
Last Name:PARKMAN
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 1:7110 COLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-1421
Mailing Address - Country:US
Mailing Address - Phone:832-405-1819
Mailing Address - Fax:832-202-2470
Practice Address - Street 1:2950 NORTH LOOP W STE 500
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-8830
Practice Address - Country:US
Practice Address - Phone:832-405-1819
Practice Address - Fax:832-202-2470
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-07
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX355351041C0700X, 171M00000X, 101YM0800X, 101Y00000X, 101YP2500X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3294357Medicaid
TX1265864714Medicare UPIN