Provider Demographics
NPI:1669496659
Name:PARKER, ARLENE SANDRA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ARLENE
Middle Name:SANDRA
Last Name:PARKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:289 PRINCETON RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-2235
Mailing Address - Country:US
Mailing Address - Phone:516-536-2346
Mailing Address - Fax:
Practice Address - Street 1:865 MERRICK RD
Practice Address - Street 2:SUITE 305
Practice Address - City:BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-3338
Practice Address - Country:US
Practice Address - Phone:516-868-3421
Practice Address - Fax:516-623-3644
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR019037-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN14562Medicare UPIN