Provider Demographics
NPI:1023737889
Name:PARSONS, AMY L (LMSW)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:L
Last Name:PARSONS
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 1:34681 SAINT GEORGE RD
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:DE
Mailing Address - Zip Code:19940-3312
Mailing Address - Country:US
Mailing Address - Phone:302-542-9962
Mailing Address - Fax:
Practice Address - Street 1:34681 SAINT GEORGE RD
Practice Address - Street 2:
Practice Address - City:DELMAR
Practice Address - State:DE
Practice Address - Zip Code:19940-3312
Practice Address - Country:US
Practice Address - Phone:302-542-9962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ3-0010907104100000X
MD27848104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD27848OtherLICENSED MASTER OF SOCIAL WORKER