Provider Demographics
NPI:1841758398
Name:PARKER, SARAH EMILY (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:EMILY
Last Name:PARKER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2470 DANIELS BRIDGE RD STE 171
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-6188
Mailing Address - Country:US
Mailing Address - Phone:706-354-1707
Mailing Address - Fax:706-354-1708
Practice Address - Street 1:2470 DANIELS BRIDGE RD STE 171
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-6188
Practice Address - Country:US
Practice Address - Phone:706-354-1707
Practice Address - Fax:706-354-1708
Is Sole Proprietor?:No
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW0074441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical