Jerry Deonita Parker Jr.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

830 W Lake Lansing Rd
200
East Lansing, MI 48823-6372

Phone

(517) 624-1416

Fax

(517) 237-4170

NPI assigned

Sep 26, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Emhpe Michigan PLLC

  • Clinical Social Worker
  • Holland, MI
  • NPI 1093420960
  Medicare reassignment NPD
• Praising Jesus Christ for Life LLC

  • Clinical Social Worker
  • East Lansing, MI
  • NPI 1609713031
  NPD Authorized official

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1346029568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W LAKE LANSING RD STE 200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236372",
            "telephone_number": "517-624-1416",
            "fax_number": "517-237-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W LAKE LANSING RD",
            "address_2": "200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236372",
            "telephone_number": "517-624-1416",
            "fax_number": "517-237-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JERRY",
        "middle_name": "DEONITA",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Douglas Papson, DPM
• Joshua Macey Paquet, ATC
• Kelly A Paquet, ATC
• Esther Rose Park, M.S.,R.D
• Timothy Park, DO
• Mikala Parker
• Jose Ruben Parra-Cardona, PH.D.
• Jennifer Parsons, FNP-BC
• Mollie Beth Parsons
• Stacy Ann Paruch, OTR/L

• Clinical Social Worker in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.