Individual provider Active NPI

Tanya M Parker, LCSW

  • Clinical Social Worker
  • Santa Barbara, CA
National Provider Identifier
1033701487
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
121560 Issued in CA
Practice address
340 Old Mill Rd SPC 62
Santa Barbara, CA 93110-3724
Phone
(314) 619-2489
NPI assigned
Feb 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.022954 IL
Clinical Social Worker 1041C0700X 2024016102 MO
Clinical Social Worker 1041C0700X 121560 CA Primary

Addresses

Primary practice location

340 Old Mill Rd SPC 62
Santa Barbara, CA 93110-3724

Mailing address

4237 McPherson Ave
Saint Louis, MO 63108-2907
Phone (314) 619-2489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121560CAMDClinical Social Worker
149.022954ILMDClinical Social Worker
2024016102MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn Medical Center, LLC Past Accepting new patients
Carative Psychiatry PLLC Past Accepting new patients
Carative Psychiatry Nursing Corporation PastSince Apr 24, 2024 Accepting new patients
Mood Clinical, P. C. PastSince Jun 15, 2021 Accepting new patients

Organizations & group practices 4

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": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1033701487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4237 MCPHERSON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082907",
            "telephone_number": "314-619-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 OLD MILL RD SPC 62",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931103724",
            "telephone_number": "314-619-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "TANYA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022954",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024016102",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "121560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.