Provider Demographics
NPI:1346413218
Name:PARKER, TRICIA DAWN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TRICIA
Middle Name:DAWN
Last Name:PARKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:TRICIA
Other - Middle Name:DAWN
Other - Last Name:LAWSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:921 WESTBROOK DR
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46158-1032
Mailing Address - Country:US
Mailing Address - Phone:317-834-9772
Mailing Address - Fax:
Practice Address - Street 1:921 WESTBROOK DR
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46158-1032
Practice Address - Country:US
Practice Address - Phone:317-834-9772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34005042A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical