Active NPI
Keith A Parrish, LCSW
- Clinical Social Worker
- Greenwood, IN
National Provider Identifier
1215063508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34004976A
- Practice address
- 898 E Main St
Greenwood, IN 46143-1407 - Phone
- (317) 887-1348
- Fax
- (317) 885-9063
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 34004976A | IN | Primary |
Addresses
Primary practice location
898 E Main St
Greenwood, IN 46143-1407
Mailing address
898 E Main St
Greenwood, IN 46143-1407
Phone (317) 447-1348
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000576117 | Other | IN | ANTHEM BLUE CROSS BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34004976A | IN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341187200000",
"number": "1215063508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "898 E MAIN ST",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431407",
"telephone_number": "317-447-1348",
"fax_number": "317-885-9063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "898 E MAIN ST",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431407",
"telephone_number": "317-887-1348",
"fax_number": "317-885-9063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRISH",
"first_name": "KEITH",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2012-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34004976A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
"identifier": "000000576117",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.