Mary Lynn Parker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C5564 Issued in MS

Practice address

120 Arbor Ridge Rd
Ridgeland, MS 39157-9703

Phone

(601) 572-6159

NPI assigned

Oct 6, 2016

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: maryparker@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD
• Mindful Solutions, LLC

  • Professional Counselor
  • Jackson, MS
  • NPI 1083176218
  NPD (past)
• Red River Counseling

  • Professional Counselor
  • Ridgeland, MS
  • NPI 1376029306
  NPD (past)
• Vitality Counseling

  • Professional Counselor
  • Madison, MS
  • NPI 1154904035
  NPD (past)

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705795200000",
    "number": "1356891980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ARBOR RIDGE RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391579703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ARBOR RIDGE RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391579703",
            "telephone_number": "601-572-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MARY",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C5564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kecia Lasonia Palmer, NURSE PRACTITIONER
• Kelly S Parish, DPT
• Michaela Park
• Audrey Sloane Parker, SLP
• Mary Parker
• Rogenia Parker, LCSW
• Lawanda Parks
• Parkway Family Medicine
• Avani Kishor Patel, MD
• Pathways Counseling

• All providers in Ridgeland, MS
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2024; 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.