Amy Ruth Parks, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW22207 Issued in CA

Practice address

7545 N del Mar Ave Ste 105
Fresno, CA 93711-6872

Phone

(559) 224-2469

Fax

(559) 224-2469

NPI assigned

Apr 12, 2007

Last updated

Dec 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• National Alliance on Mental Illness Fresno

  dba NAMI Fresno

  • Adult Mental Health Clinic/Center
  • Fresno, CA
  • NPI 1588472922
  NPD
• Resiliency Center of Fresno

  • Marriage & Family Therapist
  • Fresno, CA
  • NPI 1558949818
  NPD (past)
• University Faculty Associates, Inc.

  • Emergency Medicine Physician
  • Fresno, CA
  • NPI 1235537283
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1174747984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 N DEL MAR AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937116872",
            "telephone_number": "559-224-2469",
            "fax_number": "559-224-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 N DEL MAR AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937116872",
            "telephone_number": "559-224-2469",
            "fax_number": "559-224-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "AMY",
        "middle_name": "RUTH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "22207",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW22207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montre Antoine Parker
• Natalie Ann Parker, MA
• Sarah Michelle Parker I, RN
• Stefhen Sean Parker
• Kimberly Parkinson, PPS
• Andrew Jackson Parks IV
• Caroline Sue Parks
• Edward Karl Parks
• Jeanine Parks
• Nadiyah Parks

• Clinical Social Worker in Fresno, CA
• Providers in Fresno, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.