Provider Demographics
NPI:1770501314
Name:PARKINSON, NATHANIEL (MSW)
Entity Type:Individual
Prefix:MR
First Name:NATHANIEL
Middle Name:
Last Name:PARKINSON
Suffix:
Gender:M
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:DEPT OF VETERANS AFFAIRS
Mailing Address - Street 2:MARYLAND HEALTH CARE SYSTEMS
Mailing Address - City:PERRY POINT
Mailing Address - State:MD
Mailing Address - Zip Code:21902
Mailing Address - Country:US
Mailing Address - Phone:410-642-2411
Mailing Address - Fax:410-642-1852
Practice Address - Street 1:DEPT. OF VETERANS AFFAIRS
Practice Address - Street 2:MARYLAND HEALTH CARE SYSTEM
Practice Address - City:PERRY POINT
Practice Address - State:MD
Practice Address - Zip Code:21902
Practice Address - Country:US
Practice Address - Phone:410-642-2411
Practice Address - Fax:410-642-1852
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDG11147104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker