Sallie Parker LMSW, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

6801058484 Issued in MI

Legal business name

SALLIE PARKER LMSW, PLLC

Practice address

2035 Hogback Rd
Suite 207
Ann Arbor, MI 48105-9666

Phone

(734) 476-1973

NPI assigned

Aug 16, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Sallie Kay Parker, LMSWNPI 1821210238

Title

Owner

Phone

(734) 476-1973

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sallie Kay Parker, MSW LMSW ACSW

  • Social Worker
  • Ann Arbor, MI
  • NPI 1821210238
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1386124576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 FAWNMEADOW CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059666",
            "telephone_number": "734-476-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 HOGBACK RD",
            "address_2": "SUITE 207",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059666",
            "telephone_number": "734-476-1973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3106 Fawnmeadow CT",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481059666",
            "country_code": "US",
            "telephone_number": "734-476-1973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SALLIE PARKER LMSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "SALLIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-476-1973",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "6801058484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1821210238",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64097177",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen E Salla, DPT
• Ray Amer Sallan, D.D.S
• Nicole Sallee
• Marsha A Salley, PA
• Sallie Hamilton Personnel (Tea for Two)
• Sally Szymanski DO PC
• Eloise Salmon, MD
• Julie Salva, R.N.
• Celeste Salvador-Gonzalez, MSW
• Nicole Marie Salvia, LMSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.