Provider Demographics
NPI:1437750361
Name:PARNELL, DENNIS HUGH (LCSW LCAS)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:HUGH
Last Name:PARNELL
Suffix:
Gender:M
Credentials:LCSW LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1512 HEMPHILL DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-3599
Mailing Address - Country:US
Mailing Address - Phone:919-427-6450
Mailing Address - Fax:
Practice Address - Street 1:10 LEARNERS DRIVE
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330
Practice Address - Country:US
Practice Address - Phone:800-653-1876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC55101YA0400X
NCC0034671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)