Individual provider Active NPI

Kevin E Parker, LCSW

  • Clinical Social Worker
  • Glendale, CA
National Provider Identifier
1366019911
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW25612 Issued in CA
Practice address
141 S Cedar St
Glendale, CA 91205-1207
Phone
(818) 839-4010
Fax
(818) 839-4011
NPI assigned
Jun 10, 2021
Last updated
Jun 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW25612 CA Primary

Addresses

Primary practice location

141 S Cedar St
Glendale, CA 91205-1207

Mailing address

519 E Broadway
Glendale, CA 91205-1110
Phone (818) 409-3020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20221018001278 CA Practitioner - Clinical Social Worker 0345616231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

141 S Cedar St
Glendale, CA 91205-1207
Phone (818) 839-4010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW25612CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
All for Health Health for All Inc CurrentSince Jul 6, 2022 Accepting new patients
All for Health Health for All Inc CurrentSince Jul 6, 2022 Accepting new patients
All for Health Health for All Inc Current Accepting new patients

Locations

519 E Broadway
Glendale, CA 91205
Phone (818) 409-3020

800 S Central Ave
Ste 308
Glendale, CA 91204
Phone (818) 332-2233

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kevin.parkerlcsw.p1@direct.afh.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1366019911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 E BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051110",
            "telephone_number": "818-409-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S CEDAR ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051207",
            "telephone_number": "818-839-4010",
            "fax_number": "818-839-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KEVIN",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW25612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.