Individual provider Active NPI

Precious Parham

  • Clinical Social Worker
  • Peachtree City, GA
National Provider Identifier
1053077750
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW009651 Issued in GA
Practice address
200 Westpark Dr Ste 120
Peachtree City, GA 30269-1447
Phone
(855) 284-7483
Fax
(617) 807-0958
NPI assigned
Nov 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW009651 GA Primary

Addresses

Primary practice location

200 Westpark Dr Ste 120
Peachtree City, GA 30269-1447

Mailing address

401 Westpark CT Ste 200
Peachtree City, GA 30269-3572

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW009651GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Soul Wellness & Counseling Clinical Current Accepting new patients
Thrive Counseling LLC CurrentSince Nov 21, 2021 Accepting new patients

Locations

401 Westpark Ct
Ste 200
Peachtree City, GA 30269
Phone (678) 783-0130

200 Westpark Dr
Ste 120
Peachtree City, GA 30269
Phone (678) 383-1210

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 2

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": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1053077750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WESTPARK CT STE 200",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WESTPARK DR STE 120",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691447",
            "telephone_number": "855-284-7483",
            "fax_number": "617-807-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARHAM",
        "first_name": "PRECIOUS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW009651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.