Individual provider Active NPI

Marla Elaine Parramore, LICSW, MSSW, CDP

  • Clinical Social Worker
  • Chehalis, WA
National Provider Identifier
1093059636
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60047377 Issued in WA
Practice address
151 NE Hampe Way
Suite B2-6
Chehalis, WA 98532-2403
Phone
(360) 748-3049
NPI assigned
Nov 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP00004575 WA
Clinical Social Worker 1041C0700X LW60047377 WA Primary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Social Worker 104100000X

Addresses

Primary practice location

151 NE Hampe Way
Suite B2-6
Chehalis, WA 98532-2403

Mailing address

5217 S J St
Tacoma, WA 98408-3642
Phone (253) 475-0486

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CP00004575WAMDAddiction (Substance Use Disorder) Counselor
LW60047377WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1093059636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5217 S J ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984083642",
            "telephone_number": "253-475-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 NE HAMPE WAY",
            "address_2": "SUITE B2-6",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985322403",
            "telephone_number": "360-748-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRAMORE",
        "first_name": "MARLA",
        "middle_name": "ELAINE",
        "credential": "LICSW, MSSW, CDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00004575",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60047377",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chehalis, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.