Provider Demographics
NPI:1124324215
Name:PARSONS, MAIKWE LINDA (LCSW)
Entity type:Individual
Prefix:
First Name:MAIKWE
Middle Name:LINDA
Last Name:PARSONS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6698 STARSHELL BAY AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-6113
Mailing Address - Country:US
Mailing Address - Phone:702-321-7567
Mailing Address - Fax:702-534-4037
Practice Address - Street 1:5145 S DURANGO DR
Practice Address - Street 2:SUITE 103
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-0191
Practice Address - Country:US
Practice Address - Phone:702-321-7567
Practice Address - Fax:702-534-4037
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0414-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical