Polly Anna Peterson Parker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110132 Issued in TX

Practice address

3761 FM 697
Sherman, TX 75090-3734

Phone

(954) 295-4923

NPI assigned

Jun 28, 2023

Sex

Female

Sole proprietor

No

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

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": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1346927654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3761 FM 697",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750903734",
            "telephone_number": "954-295-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3761 FM 697",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750903734",
            "telephone_number": "954-295-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON PARKER",
        "first_name": "POLLY",
        "middle_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "6794",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003711",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "110132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Performance Plus
• Craig Wallace Perkins
• Paisley Ann Perryman, RN, BSN
• Holly Danielle Peterman, RBT
• Shelly Peters
• David A Peterson, FNP
• Kirsten Lynn Petree
• Yolanda Gail Petty
• Thong Van Phan, RN
• Pharm House Drug Sherman LLC

• Clinical Social Worker in Sherman, TX
• Providers in Sherman, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.