Individual provider Active NPI

Elizabeth Parker, LICSWA

  • Clinical Social Worker
  • Spokane Valley, WA
National Provider Identifier
1124545264
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
60953284 Issued in WA
Practice address
721 N Pines Rd Ste 102
Spokane Valley, WA 99206-5225
Phone
(509) 598-2032
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
60953284WAMDClinical Social Worker

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 60953284 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

721 N Pines Rd Ste 102
Spokane Valley, WA 99206-5225

Mailing address

721 N Pines Rd Ste 102
Spokane Valley, WA 99206-5225
Phone (509) 598-2032

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 7, 2019.

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1124545264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N PINES RD STE 102",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065225",
            "telephone_number": "509-598-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N PINES RD STE 102",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065225",
            "telephone_number": "509-598-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ELIZABETH",
        "credential": "LICSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "60953284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.