Jaime Lee Parker, MSW, LCSW, LCASA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904010502 Issued in VA

Practice address

911 Hay St
Fayetteville, NC 28305

Phone

(910) 438-0939

Fax

(910) 438-0942

NPI assigned

Jun 15, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Woodbridge Therapy Group LLC

  • Psychologist
  • Woodbridge, VA
  • NPI 1427421627

  Clinical

  Medicare reassignment NPD
• Nova Emdr PLLC

  • Clinical Social Worker
  • Clifton, VA
  • NPI 1518762749
  NPD Authorized official
• Prince William Family Counseling, P.C.

  • Mental Health Counselor
  • Manassas, VA
  • NPI 1205868791
  NPD (past)

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1275914301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12721 DARBY BROOK CT STE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922408",
            "telephone_number": "703-497-1771",
            "fax_number": "703-497-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 HAY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28305",
            "telephone_number": "910-438-0939",
            "fax_number": "910-438-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JAIME",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, LCASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011257",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "23401",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deandra Michelle Parker
• Donna B Parker
• Donna Dudley Parker, FNP-C
• Erin Patricia Parker, MS, OTR/L
• Jacquelyn Marie Parker, REGISTERED DIETITIAN
• James Rashad Parker Jr., LCSW
• Kaiah Parker
• Larry Juan Parker Jr., M.ED.
• Latoya M Parker
• Ryan David Parker

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.

Verify at the official NPI Registry.