Active NPI
William Michael Parker, LCSW
- Clinical Social Worker
- Little Rock, AR
National Provider Identifier
1144800772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 776-C
- Practice address
- 2200 Breckenridge Dr
Little Rock, AR 72227-2906 - Phone
- (501) 416-1953
- NPI assigned
- Apr 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 776-C | AR | Primary |
Addresses
Primary practice location
2200 Breckenridge Dr
Little Rock, AR 72227-2906
Mailing address
2200 Breckenridge Dr
Little Rock, AR 72227-2906
Phone (501) 416-1953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NV Pacs 2 LLC | Current | Accepting new patients | |
| Ipc Pac Healthcare Services of Missouri Inc | Current | Accepting new patients | |
| CS Pacs 3 Southwest, LLC | Current | Accepting new patients |
Locations
5720 W Markham St
Little Rock, AR 72205
Phone (501) 305-3153
8701 Riley Dr
Little Rock, AR 72205
Phone (501) 224-2700
826 North St
Stamps, AR 71860
Phone (870) 533-4444
Interoperability endpoints
- william.parker.1@27478.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1144800772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 BRECKENRIDGE DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722272906",
"telephone_number": "501-416-1953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 BRECKENRIDGE DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722272906",
"telephone_number": "501-416-1953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "WILLIAM",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-08",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "776-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.