Individual provider Active NPI

Amy Michelle Parker, MSW, LSW, CA

  • Clinical Social Worker
  • Lancaster, OH
National Provider Identifier
1114448735
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.0028590 Issued in OH
Practice address
327 N Broad St
Lancaster, OH 43130-3004
Phone
(740) 689-2558
NPI assigned
Jul 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 S.0028590 OH Primary

Addresses

Primary practice location

327 N Broad St
Lancaster, OH 43130-3004

Mailing address

9880 Larimer Rd
Logan, OH 43138-8956
Phone (740) 591-6276

Other practice location 1

1147 E Main St Ste B
Lancaster, OH 43130-4056
Phone (740) 652-9604

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
S.0028590OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114448735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9880 LARIMER RD",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431388956",
            "telephone_number": "740-591-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 N BROAD ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303004",
            "telephone_number": "740-689-2558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1147 E Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431304056",
            "country_code": "US",
            "telephone_number": "740-652-9604",
            "fax_number": "740-277-7606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "credential": "MSW, LSW, CA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.0028590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.