Individual provider Active NPI

Desiree Lynn Parker, MSW, CAPSW

  • Social Worker
  • Sparta, WI
National Provider Identifier
1265096853
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
129824 Issued in WI
Practice address
226 Poole St
Sparta, WI 54656-2583
Phone
(608) 633-4814
NPI assigned
Apr 29, 2019
Sex
Female
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
129824WIMDSocial Worker

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 129824 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

226 Poole St
Sparta, WI 54656-2583

Mailing address

226 Poole St
Sparta, WI 54656-2583
Phone (608) 633-4814

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 29, 2019.

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1265096853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 POOLE ST",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546562583",
            "telephone_number": "608-633-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 POOLE ST",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546562583",
            "telephone_number": "608-633-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "DESIREE",
        "middle_name": "LYNN",
        "credential": "MSW, CAPSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "129824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.