Stacey Lynn Parke is a Clinical in Madison, Wisconsin. Stacey Lynn Parke practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacey Lynn Parke is 1184820540. The last update date is 2011-04-21.
Stacey Lynn Parke's current location address is 4717 Fond Du Lac Trl, Madison, Wisconsin. You can contact this provider via phone number 6082709645. The mailing address for Stacey Lynn Parke is 4717 Fond Du Lac Trl, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Lynn Parke |
|---|---|
| Address | 4717 Fond Du Lac Trl, Madison, Wisconsin |
| Phone Number | 6082709645 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1184820540 |
|---|---|
| Provider Enumeration Date | 2007-06-22 |
| Last Updated Date | 2011-04-21 |
Provider Mailing Address Detail
| Address | 4717 Fond Du Lac Trl |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537054812 |
| Phone Number | 6082709645 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6601 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39739500 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Stacey Lynn Parke by the Centers for Medicare & Medicaid Services?
The Stacey Lynn Parke has been issued the NPI (National Provider Identifier) 1184820540. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Stacey Lynn Parke's physical address?
The Stacey Lynn Parke is physically located at 4717 Fond Du Lac Trl, in the city of Madison, WI, with the postal code 537054812.
What is Stacey Lynn Parke's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stacey Lynn Parke is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When did the Stacey Lynn Parke receive its 1184820540?
The Stacey Lynn Parke was issued its 1184820540 on 2007-06-22, which is the date when the organization was assigned this unique identifier.
When was the information regarding Stacey Lynn Parke most recently updated?
The details pertaining to the Stacey Lynn Parke, including its address, specialty, and other relevant information, were last refreshed on 2011-04-21.