Provider Demographics
NPI:1821757329
Name:PARKER, SHEREE (MHS, LSW)
Entity Type:Individual
Prefix:MS
First Name:SHEREE
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:MHS, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 DELAWARE AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-6601
Mailing Address - Country:US
Mailing Address - Phone:267-968-6041
Mailing Address - Fax:
Practice Address - Street 1:300 DELAWARE AVE STE 210
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-6601
Practice Address - Country:US
Practice Address - Phone:267-968-6041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-12
Last Update Date:2021-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ3-0010906104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker