Provider Demographics
NPI:1144848714
Name:PARSONS, SHILEN KENNETH (LSW)
Entity type:Individual
Prefix:
First Name:SHILEN
Middle Name:KENNETH
Last Name:PARSONS
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 FOXSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-3982
Mailing Address - Country:US
Mailing Address - Phone:717-475-1642
Mailing Address - Fax:
Practice Address - Street 1:120 FOXSHIRE DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-3982
Practice Address - Country:US
Practice Address - Phone:717-475-1642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-10
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW136235104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker