Individual provider Active NPI

Monique Mari Parrish, LCSW

  • Clinical Social Worker
  • Occidental, CA
National Provider Identifier
1013969658
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17369 Issued in CA
Practice address
3802 Main St
Occidental, CA 95465
Phone
(707) 874-2444
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110523000388 CA Order and Referring Only - Clinical Social Worker 4981880283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 17369 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

3802 Main St
Occidental, CA 95465

Mailing address

14045 Mill St
Guerneville, CA 95446-8303
Phone (707) 869-5977

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2023.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1013969658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14045 MILL ST",
            "city": "GUERNEVILLE",
            "state": "CA",
            "postal_code": "954468303",
            "telephone_number": "707-869-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 MAIN ST",
            "city": "OCCIDENTAL",
            "state": "CA",
            "postal_code": "95465",
            "telephone_number": "707-874-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "MONIQUE",
        "middle_name": "MARI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "17369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Occidental, CA

Sources for this page

Verify at the official NPI Registry.