Provider Demographics
NPI:1558438077
Name:PARKER-TIMMS, DENISE (LSCSW)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:
Last Name:PARKER-TIMMS
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 W 9TH ST STE 212
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-2846
Mailing Address - Country:US
Mailing Address - Phone:785-218-3022
Mailing Address - Fax:
Practice Address - Street 1:708 W 9TH ST STE 212
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-2846
Practice Address - Country:US
Practice Address - Phone:785-218-3022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2154101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS069468Medicare UPIN