Provider Demographics
NPI:1306099908
Name:PARROTT, CLARENCE E (LCSW)
Entity type:Individual
Prefix:
First Name:CLARENCE
Middle Name:E
Last Name:PARROTT
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 S RANCHO DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-3801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2825 BLUEGRASS LN
Practice Address - Street 2:APT #805
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-3254
Practice Address - Country:US
Practice Address - Phone:702-837-2632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5108-S104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV5108-SOtherSOCIAL WORKER LICENSE