Provider Demographics
NPI:1558498956
Name:PARSONS, MICHELE L (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:L
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 1:1217 N JONES RD
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64056-4425
Mailing Address - Country:US
Mailing Address - Phone:816-805-6467
Mailing Address - Fax:816-796-0467
Practice Address - Street 1:11004 E US HIGHWAY 40
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-6023
Practice Address - Country:US
Practice Address - Phone:816-805-6467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20040243801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical