| Doctor Name: | MRS. PORTIA J PARKER |
| NPI Number: | 1043266372 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LICSW |
| License Number: | DP00454793 |
| Business Practice Address: | 200 Veterans Ave Beckley, WV - 258016444 |
| Business Phone Number: | 3042552121 |
| Business Fax Number: | 3042552431 |
| Mailing Address: | 214 Summit Dr, BECKLEY |
| State: | WV |
| Postal Code: | 258012058 |
| Phone Number: | 3042554260 |
| Fax Number: | |
| NPI Enumeration Date: | 05/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | DP00454793 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |