Active NPI
Shequanta Latroya Parker, LCSW-A
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1235570581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P021752
- Practice address
- 2443 Lynn Rd Ste 112
Raleigh, NC 27612-6759 - Phone
- (919) 438-4060
- NPI assigned
- Jul 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P008228 | NC | |
| Clinical Social Worker | 1041C0700X | P021752 | NC | Primary |
Addresses
Primary practice location
2443 Lynn Rd Ste 112
Raleigh, NC 27612-6759
Mailing address
8631 Neuse Club LN Apt 107
Raleigh, NC 27616-8039
Phone (252) 916-1389
Other practice location 1
1205 Maple Ave
Burlington, NC 27215-6958
Phone (336) 514-9493
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P008228 | NC | MD | Mental Health Counselor |
| P021752 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Legacy Mental Health Services, Inc | Past | Accepting new patients |
Organizations & group practices 1
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
- Burlington, NC
- NPI 1629318803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1235570581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8631 NEUSE CLUB LN APT 107",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276168039",
"telephone_number": "252-916-1389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2443 LYNN RD STE 112",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276126759",
"telephone_number": "919-438-4060"
}
],
"practiceLocations": [
{
"address_1": "1205 Maple Ave",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "NC",
"postal_code": "272156958",
"country_code": "US",
"telephone_number": "336-514-9493",
"fax_number": "336-395-8501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKER",
"first_name": "SHEQUANTA",
"middle_name": "LATROYA",
"credential": "LCSW-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-16",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "P008228",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P021752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.