Provider Demographics
NPI:1598758740
Name:PARGAMENT, AILEEN S (MSW)
Entity Type:Individual
Prefix:MRS
First Name:AILEEN
Middle Name:S
Last Name:PARGAMENT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5528 HIDDEN CT
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-9287
Mailing Address - Country:US
Mailing Address - Phone:419-841-3996
Mailing Address - Fax:419-536-7406
Practice Address - Street 1:3454 OAK ALLEY CT
Practice Address - Street 2:STE 410
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1306
Practice Address - Country:US
Practice Address - Phone:419-537-6959
Practice Address - Fax:419-536-7406
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI1026104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASW00091Medicare ID - Type Unspecified