Provider Demographics
NPI:1942724232
Name:PARKEY, ALEEZA (LCSW)
Entity Type:Individual
Prefix:
First Name:ALEEZA
Middle Name:
Last Name:PARKEY
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 1:2520 MOCKINGBIRD LN
Mailing Address - Street 2:
Mailing Address - City:LOCUST GROVE
Mailing Address - State:GA
Mailing Address - Zip Code:30248-7044
Mailing Address - Country:US
Mailing Address - Phone:301-343-8550
Mailing Address - Fax:
Practice Address - Street 1:2520 MOCKINGBIRD LN
Practice Address - Street 2:
Practice Address - City:LOCUST GROVE
Practice Address - State:GA
Practice Address - Zip Code:30248-7044
Practice Address - Country:US
Practice Address - Phone:301-343-8550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-28
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0061291041C0700X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical