Provider Demographics
NPI:1356588164
Name:PARKER, JAMES HENRY (LCSW-C)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:HENRY
Last Name:PARKER
Suffix:
Gender:M
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 RIDGE RD UNIT C
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2956
Mailing Address - Country:US
Mailing Address - Phone:240-486-4163
Mailing Address - Fax:
Practice Address - Street 1:8 RIDGE RD UNIT C
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2956
Practice Address - Country:US
Practice Address - Phone:240-486-4163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-15
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD146731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical