Individual provider Active NPI

Dana Jolene Parker, LCSW, LMFT

  • Clinical Social Worker
  • Loogootee, IN
National Provider Identifier
1063592855
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34003185A Issued in IN
Practice address
200 S John F Kennedy Ave
Loogootee, IN 47553-1624
Phone
(812) 295-3090
NPI assigned
Oct 16, 2006
Last updated
Apr 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34003185A IN Primary
Marriage & Family Therapist 106H00000X 35000284A IN

Addresses

Primary practice location

200 S John F Kennedy Ave
Loogootee, IN 47553-1624

Mailing address

202 E Elm St
New Albany, IN 47150-3429
Phone (812) 941-0922

Other practice location 1

202 E Elm St
New Albany, IN 47150-3429
Phone (812) 941-0922 ext. 3

Other names 1

  • Miss Dana Jolene Fuller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20090604000188 IN Practitioner - Clinical Social Worker 8022168566 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35000284AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Family Health Center, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Good Samaritan Family Health Center, Inc CurrentSince Jul 1, 2023 Accepting new patients
Good Samaritan Family Health Center, Inc Past Accepting new patients
Good Samaritan Family Health Center, Inc Past Accepting new patients
Good Samaritan Family Health Center, Inc Past Accepting new patients
Counseling Associates of Southern Indiana, PSC Clinical Past Accepting new patients
Good Samaritan Family Health Center, Inc Past Accepting new patients
Good Samaritan Family Health Center, Inc Past Accepting new patients
Good Samaritan Family Health Center, Inc. Past Accepting new patients
Good Samaritan Family Health Center, Inc. Past Accepting new patients
Senior Guidance, a Professional Services Corporation Clinical Past Accepting new patients

Locations

7820 N Camp Arthur Rd
Fl 1
Bruceville, IN 47516
Phone (812) 885-2720

200 S John F Kennedy Ave
Loogootee, IN 47553
Phone (812) 295-3090

611 E Main St
Ste 110
Petersburg, IN 47567
Phone (812) 354-8426

1008 Upper 11th St
Rm 25
Vincennes, IN 47591
Phone (812) 885-2720

1027 Washington Ave
Vincennes, IN 47591
Phone (812) 494-7500

1027 Washington Ave
#B
Vincennes, IN 47591
Phone (812) 494-7500

1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064

1545 S Hart Street Rd
Fl 1
Vincennes, IN 47591
Phone (812) 885-8720

1901 Willow St
Vincennes, IN 47591
Phone (812) 885-2720

2116 N 2nd St
Rm B1
Vincennes, IN 47591
Phone (812) 885-2720

2134 Washington Ave
Fl 3
Vincennes, IN 47591
Phone (812) 885-2720

300 N 1st St
Vincennes, IN 47591
Phone (812) 494-9510

515 Bayou St
Vincennes, IN 47591
Phone (812) 886-0907

2007 State St
Washington, IN 47501
Phone (812) 254-1558

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1063592855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E ELM ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471503429",
            "telephone_number": "812-941-0922",
            "fax_number": "812-941-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S JOHN F KENNEDY AVE",
            "city": "LOOGOOTEE",
            "state": "IN",
            "postal_code": "475531624",
            "telephone_number": "812-295-3090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 E Elm St",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471503429",
            "country_code": "US",
            "telephone_number": "812-941-0922 x3",
            "fax_number": "812-941-0990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "DANA",
        "middle_name": "JOLENE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003185A",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35000284A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "FULLER",
            "middle_name": "JOLENE",
            "prefix": "MISS",
            "credential": "LCSW, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Loogootee, IN

Sources for this page

Verify at the official NPI Registry.