Provider Demographics
NPI:1407531213
Name:PARKER, JOSETTE DARLENE (LICSW)
Entity Type:Individual
Prefix:MS
First Name:JOSETTE
Middle Name:DARLENE
Last Name:PARKER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6824 19TH STREET WEST
Mailing Address - Street 2:PMB 253
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98466
Mailing Address - Country:US
Mailing Address - Phone:253-565-1019
Mailing Address - Fax:253-565-0279
Practice Address - Street 1:7025 27TH ST W STE 4
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98466-5221
Practice Address - Country:US
Practice Address - Phone:253-565-1019
Practice Address - Fax:253-565-0279
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA606790791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical