Provider Demographics
NPI:1386827897
Name:PARR, ELISA IRIS (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ELISA
Middle Name:IRIS
Last Name:PARR
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 1:135 COLUMBIA TPKE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-2104
Mailing Address - Country:US
Mailing Address - Phone:973-714-1842
Mailing Address - Fax:973-660-0433
Practice Address - Street 1:135 COLUMBIA TPKE
Practice Address - Street 2:SUITE 201
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-2104
Practice Address - Country:US
Practice Address - Phone:973-714-1842
Practice Address - Fax:973-660-0433
Is Sole Proprietor?:No
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC050828001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical