Provider Demographics
NPI:1649350695
Name:PARKER, LORRI S (LCSW)
Entity type:Individual
Prefix:MS
First Name:LORRI
Middle Name:S
Last Name:PARKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:LORRI
Other - Middle Name:S
Other - Last Name:RITTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18913 FAIRWOOD CT
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-1867
Mailing Address - Country:US
Mailing Address - Phone:727-458-9373
Mailing Address - Fax:813-972-2054
Practice Address - Street 1:8911 REGENTS PARK DR STE 510
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3420
Practice Address - Country:US
Practice Address - Phone:813-340-0744
Practice Address - Fax:813-972-2054
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW41891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ7100Medicare UPIN