Provider Demographics
NPI:1679132104
Name:PARISI, EMERALD JOYDELLE (LCSW)
Entity Type:Individual
Prefix:
First Name:EMERALD
Middle Name:JOYDELLE
Last Name:PARISI
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 1:205 RED FOX RD
Mailing Address - Street 2:
Mailing Address - City:JUDITH GAP
Mailing Address - State:MT
Mailing Address - Zip Code:59453-8201
Mailing Address - Country:US
Mailing Address - Phone:406-220-0707
Mailing Address - Fax:
Practice Address - Street 1:301 E DIVISION ST
Practice Address - Street 2:
Practice Address - City:HARLOWTON
Practice Address - State:MT
Practice Address - Zip Code:59036-5157
Practice Address - Country:US
Practice Address - Phone:406-220-0707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-09
Last Update Date:2019-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCSW-LIC-380361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical