Provider Demographics
NPI:1457442527
Name:PARSONS, TERRI S (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:S
Last Name:PARSONS
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 1:1100 TOBLER RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-8163
Mailing Address - Country:US
Mailing Address - Phone:865-588-7444
Mailing Address - Fax:865-766-0830
Practice Address - Street 1:5401 KINGSTON PIKE
Practice Address - Street 2:SUITE 285
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5022
Practice Address - Country:US
Practice Address - Phone:865-766-0180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3923298Medicare ID - Type Unspecified