Provider Demographics
NPI:1366195638
Name:PARKER-STEWART, DESTINNE (LCSW)
Entity type:Individual
Prefix:
First Name:DESTINNE
Middle Name:
Last Name:PARKER-STEWART
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 1:321 N WYOMISSING AVE
Mailing Address - Street 2:
Mailing Address - City:SHILLINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19607-1934
Mailing Address - Country:US
Mailing Address - Phone:610-568-6798
Mailing Address - Fax:
Practice Address - Street 1:122 W LANCASTER AVE STE 206
Practice Address - Street 2:
Practice Address - City:SHILLINGTON
Practice Address - State:PA
Practice Address - Zip Code:19607-1874
Practice Address - Country:US
Practice Address - Phone:484-509-0499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-27
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0256511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical