Provider Demographics
NPI:1346480647
Name:PARKER, SONYA (P-LCSW, LSSW, MSW)
Entity Type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:P-LCSW, LSSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13877
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27415-3877
Mailing Address - Country:US
Mailing Address - Phone:336-272-2070
Mailing Address - Fax:
Practice Address - Street 1:7 FOREST VALLEY CT
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-3012
Practice Address - Country:US
Practice Address - Phone:336-272-2070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1041C0700X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool