Provider Demographics
NPI:1477258143
Name:PARKS-WILLIAMS, IMANI L (LCSW)
Entity type:Individual
Prefix:
First Name:IMANI
Middle Name:L
Last Name:PARKS-WILLIAMS
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 1:206 ELM ST UNIT 203185
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06520-9381
Mailing Address - Country:US
Mailing Address - Phone:973-960-9672
Mailing Address - Fax:
Practice Address - Street 1:206 ELM ST UNIT 203185
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06520-9381
Practice Address - Country:US
Practice Address - Phone:973-960-9672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health