Active NPI
Steve Le Fay Parker, LCSW, MSW
- Clinical Social Worker
- San Bernardino, CA
National Provider Identifier
1376895243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 27610
- Practice address
- 3118 Casa Loma Dr
San Bernardino, CA 92404-2506 - Phone
- (909) 915-8136
- NPI assigned
- Oct 2, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 27610 | CA | Primary |
Addresses
Primary practice location
3118 Casa Loma Dr
San Bernardino, CA 92404-2506
Mailing address
3118 Casa Loma Dr
San Bernardino, CA 92404-2506
Phone (909) 915-8136
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27610 | Other | CA | BOARD OF BEHAVIORAL SCIENCES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27610 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349136000000",
"number": "1376895243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3118 CASA LOMA DR",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924042506",
"telephone_number": "909-915-8136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3118 CASA LOMA DR",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924042506",
"telephone_number": "909-915-8136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "STEVE",
"middle_name": "LE FAY",
"credential": "LCSW, MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-02",
"last_updated": "2012-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "27610",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SCIENCES",
"identifier": "27610",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.