Mena Angela Parris, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004543 (SOCIAL WORK Issued in NC

Practice address

433 W Main St
Durham, NC 27701-3217

Phone

(919) 451-5912

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• M. Angela Parris Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1346398096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 TECOLOTE WAY",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272788327",
            "telephone_number": "919-451-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 W MAIN ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013217",
            "telephone_number": "919-451-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRIS",
        "first_name": "MENA",
        "middle_name": "ANGELA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004543 (SOCIAL WORK",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106165",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M.",
            "last_name": "PARRIS",
            "middle_name": "ANGELA",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Carol Alejandra Parrales, ARNP
• Alejandra Maria Parrilla, MSW, LCSWA
• Gustavo Adrian Parrilla, MD
• Christine Elizabeth Parrilli-Johnson, CRNA
• Stephen Parrillo, M.D.
• Winston Parris, M.D.
• Catherine Lynch Parrish
• Donna S Parrish, LCSW
• Leah Renee Parrish
• Mary Lauren Cheek Parrish, AGPCNP-C

• Clinical Social Worker in Durham, NC
• Providers in Durham, 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 9, 2007; 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.