Provider Demographics
NPI:1376329003
Name:PARSONS, LAURIE ANN (LSW)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:ANN
Last Name:PARSONS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28526 CHANNEL VIEW DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE TORCH KEY
Mailing Address - State:FL
Mailing Address - Zip Code:33042-3173
Mailing Address - Country:US
Mailing Address - Phone:850-792-7953
Mailing Address - Fax:
Practice Address - Street 1:28526 CHANNEL VIEW DR
Practice Address - Street 2:
Practice Address - City:LITTLE TORCH KEY
Practice Address - State:FL
Practice Address - Zip Code:33042-3173
Practice Address - Country:US
Practice Address - Phone:850-792-7953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06865900104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker