Provider Demographics
NPI:1417018458
Name:PARKINSON, GLENN WALSER (MSW, MA)
Entity Type:Individual
Prefix:MS
First Name:GLENN
Middle Name:WALSER
Last Name:PARKINSON
Suffix:
Gender:F
Credentials:MSW, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2333 HUIDEKOPER PL NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-1825
Mailing Address - Country:US
Mailing Address - Phone:202-679-4849
Mailing Address - Fax:
Practice Address - Street 1:6900 GEORGIA AVENUE, NW
Practice Address - Street 2:WRAMC - DVBIC, BLDG. 2, RM. B215
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012
Practice Address - Country:US
Practice Address - Phone:202-782-7287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500781651041C0700X
NY070792-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical