Active NPI
Marla Elaine Parramore, LICSW, MSSW, CDP
- Clinical Social Worker
- Chehalis, WA
National Provider Identifier
1093059636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60047377
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CP00004575 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| LW60047377 | WA | MD | Clinical 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.