Active NPI
James Rashad Parker Jr., LCSW
- Clinical Social Worker
- Fayetteville, NC
National Provider Identifier
1215320700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P009326
- Practice address
- 705 Cumberland St
Fayetteville, NC 28301-7020 - Phone
- (910) 723-6662
- NPI assigned
- Mar 9, 2015
- 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 | P009326 | NC | Primary |
Addresses
Primary practice location
705 Cumberland St
Fayetteville, NC 28301-7020
Mailing address
114 Brainerd Ave
Fayetteville, NC 28301-3870
Phone (910) 723-6662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190724001534 | NC | Practitioner - Clinical Social Worker | 9739415001 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P009326 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Image Healthcare, Corp | Current | Accepting new patients | |
| Carter Clinic, P.a. | Past | Accepting new patients | |
| Carter Clinic, P.a. | Past | Accepting new patients | |
| Carter Clinic, P a | Clinical | Past | Accepting new patients |
| Carter Clinic, PA | Past | Accepting new patients |
Locations
401 Robeson St
Fayetteville, NC 28301
Phone (910) 321-0069
Organizations & group practices 5
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.
-
- Community/Behavioral Health Agency
- Fayetteville, NC
- NPI 1255574034
NC
-
- Psychiatry Physician
- Wilson, NC
- NPI 1588211049
-
- Psychiatry Physician
- Kinston, NC
- NPI 1982298261
-
- Psychiatry Physician
- Dunn, NC
- NPI 1215461231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707609600000",
"number": "1215320700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 BRAINERD AVE",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283013870",
"telephone_number": "910-723-6662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 CUMBERLAND ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283017020",
"telephone_number": "910-723-6662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "JAMES",
"middle_name": "RASHAD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-09",
"last_updated": "2024-02-11",
"certification_date": "2024-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P009326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2024; 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.