Provider Demographics
NPI:1972105658
Name:PARKER, CAROLYN BUTTON (LCSW)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:BUTTON
Last Name:PARKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:ASHLEY
Other - Last Name:BUTTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:955 EICHHORN DR
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516-5406
Mailing Address - Country:US
Mailing Address - Phone:303-845-0248
Mailing Address - Fax:
Practice Address - Street 1:955 EICHHORN DR
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516-5406
Practice Address - Country:US
Practice Address - Phone:443-691-0866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-09
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099267731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical