Active NPI
Monique Mari Parrish, LCSW
- Clinical Social Worker
- Occidental, CA
National Provider Identifier
1013969658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17369
- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 17369 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.