Provider Demographics
NPI:1669699989
Name:PARKER, ELIZABETH ANN (ACSW,LCSW)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ANN
Last Name:PARKER
Suffix:
Gender:F
Credentials:ACSW,LCSW
Other - Prefix:
Other - First Name:BRIT
Other - Middle Name:
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:200 MCGREGOR WOODS RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-8998
Mailing Address - Country:US
Mailing Address - Phone:919-933-9841
Mailing Address - Fax:
Practice Address - Street 1:610 JONES FERRY RD
Practice Address - Street 2:SUITE 208
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-6113
Practice Address - Country:US
Practice Address - Phone:919-636-5695
Practice Address - Fax:919-442-1105
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0002011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical