Organization Active NPI

Shawn Parker LCSW, PLLC

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1427433895
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SHAWN PARKER LCSW, PLLC
Practice address
919 Winton Rd S
Rochester, NY 14618-1633
Phone
(585) 568-7129
NPI assigned
Jul 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Mr. Shawn Parker, LCSWNPI 1710280102
Title
Co-Owner
Phone
(716) 697-2314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X NY Primary

Addresses

Primary practice location

919 Winton Rd S
Rochester, NY 14618-1633

Mailing address

919 Winton Rd S
Rochester, NY 14618-1633

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160106002164 NY Part B Supplier - Clinic/Group Practice 5092017194 Receives reassigned benefits from 2 practitioners
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory

Locations

95 Allens Creek Rd
Ste 302
Rochester, NY 14618
Phone (585) 483-0783

95 Allens Creek Rd
Ste 214
Rochester, NY 14618
Phone (585) 340-7378

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1427433895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181633",
            "telephone_number": "585-568-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN PARKER LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "716-697-2314",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.