Provider Demographics
NPI:1497421945
Name:PARKER, ARIEL TAMARA (LSW)
Entity Type:Individual
Prefix:MS
First Name:ARIEL
Middle Name:TAMARA
Last Name:PARKER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MS
Other - First Name:ARIEL
Other - Middle Name:TAMARA
Other - Last Name:OXENDINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:217 S 16TH ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18102-4517
Mailing Address - Country:US
Mailing Address - Phone:484-426-7571
Mailing Address - Fax:
Practice Address - Street 1:1115 LINDEN ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-2903
Practice Address - Country:US
Practice Address - Phone:484-273-2952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW135153104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker