Provider Demographics
NPI:1265624928
Name:PARRINELLO SPECIALIZED THERAPY SERVICES, INC
Entity type:Organization
Organization Name:PARRINELLO SPECIALIZED THERAPY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:G
Authorized Official - Last Name:PARRINELLO
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:712-255-9463
Mailing Address - Street 1:3245 VIKING DR
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51104-1839
Mailing Address - Country:US
Mailing Address - Phone:712-255-9463
Mailing Address - Fax:712-258-6701
Practice Address - Street 1:3245 VIKING DR
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51104-1839
Practice Address - Country:US
Practice Address - Phone:712-255-9463
Practice Address - Fax:712-258-6701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA004251041C0700X
IA000281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI7798 GROUPMedicare PIN
IAGROUP: I7798Medicare PIN
IAI7799Medicare PIN
IAI7800Medicare PIN