Provider Demographics
NPI:1427361781
Name:PARKER, LORICE MARIE (LGSW)
Entity Type:Individual
Prefix:MRS
First Name:LORICE
Middle Name:MARIE
Last Name:PARKER
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 CASTLETOWN CT
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-3446
Mailing Address - Country:US
Mailing Address - Phone:301-535-8737
Mailing Address - Fax:
Practice Address - Street 1:22 CASTLETOWN CT
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-3446
Practice Address - Country:US
Practice Address - Phone:301-535-8737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-15
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDG08070104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker