Stacey Lynn Parke, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6601 Issued in WI

Practice address

26 Schroeder CT Ste 210
Madison, WI 53711-2503

Phone

(608) 270-2511

Fax

(608) 270-0467

NPI assigned

Jun 22, 2007

Last updated

Nov 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Stacey Parke Chandler Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Orion Family Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
  • NPI 1154529972
  NPD Authorized official
• Orion Family Services, Inc.

  • Community/Behavioral Health Agency
  • Madison, WI
  • NPI 1215122668
  NPD Authorized official
• Cullain LLC

  • Psychiatry Physician
  • Madison, WI
  • NPI 1538446828
  NPD (past)

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1184820540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SCHROEDER CT STE 210",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112503",
            "telephone_number": "608-270-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SCHROEDER CT STE 210",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112503",
            "telephone_number": "608-270-2511",
            "fax_number": "608-270-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKE",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39739500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "CHANDLER",
            "middle_name": "PARKE",
            "prefix": "MRS.",
            "credential": "MSW, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Park, PT
• Jinhee Park, PHARMD
• John K Park, MD
• Sin Young Park, MS, CRC, LPC-IT
• Youngchan Park, MD
• Alaina Parker
• Amanda Christine Moore Parker, MSW, APSW
• Ashlee P Parker, MSOT
• Haley Raine Parker, M.S, CRC, LPC
• Janet Parker, MSSW

• Clinical Social Worker in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.