Individual provider Active NPI

Konocshay Parker

  • Social Worker
  • Fresno, CA
National Provider Identifier
1003757865
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ASW138736 Issued in CA
Practice address
5610 W Donner Ave
Fresno, CA 93722-3721
Phone
(559) 352-0860
NPI assigned
Apr 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ASW138736 CA Primary

Addresses

Primary practice location

5610 W Donner Ave
Fresno, CA 93722-3721

Mailing address

PO Box 26622
Fresno, CA 93729-6622
Phone (559) 352-0860

Other practice location 1

3043 W Roberts Ave
Fresno, CA 93711-2160
Phone (559) 352-0860

Other practice location 2

7658 N Santa Fe Ave
Fresno, CA 93722-2391
Phone (559) 352-0860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Manuch Inc. PastSince Aug 2, 2020 Accepting new patients
Manuch Inc. PastSince Mar 5, 2023 Accepting new patients
Manuch Inc. PastSince Feb 8, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1003757865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26622",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937296622",
            "telephone_number": "559-352-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 W DONNER AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223721",
            "telephone_number": "559-352-0860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3043 W Roberts Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937112160",
            "country_code": "US",
            "telephone_number": "559-352-0860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7658 N Santa Fe Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937222391",
            "country_code": "US",
            "telephone_number": "559-352-0860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KONOCSHAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW138736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.