Individual provider Active NPI

Miranda Parker, LCSW

  • Clinical Social Worker
  • Killeen, TX
National Provider Identifier
1447775895
Registry record updated Aug 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58516 Issued in TX
Practice address
2301 S Clear Creek Rd Ste 216
Killeen, TX 76549-4198
Phone
(254) 519-8803
Fax
(254) 519-8805
NPI assigned
Aug 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2017

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 58516 TX Primary

Addresses

Primary practice location

2301 S Clear Creek Rd Ste 216
Killeen, TX 76549-4198

Mailing address

2301 S Clear Creek Rd Ste 216
Killeen, TX 76549-4198
Phone (254) 519-8803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20171120000659 TX Practitioner - Clinical Social Worker 3476810862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metroplex Clinic Physicians Inc 12 clinicians

Practice addresses (Care Compare)

2407 S Clear Creek Rd
Advnthlth Psych Psy
Killeen, TX 76549-5721
Phone (254) 519-8803

Hospital & facility affiliations

  • Adventhealth Central Texas Hospital, Killeen, TX, CCN 450152

Merit-based Incentive Payment System (MIPS)

Final score
85.04 of 100Reported as group
Quality
76.6
Promoting interoperability
100
Improvement activities
40
Cost
73.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58516TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Metroplex Clinic Physicians, Inc. CurrentSince Oct 9, 2017 Accepting new patients

Locations

2301 Clear Creek Rd
Ste 216
Killeen, TX 76549
Phone (254) 519-8803

2207 Clear Creek Rd
Ste 303
Killeen, TX 76549
Phone (254) 519-8921

2407 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8803

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1447775895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 S CLEAR CREEK RD STE 216",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494198",
            "telephone_number": "254-519-8803",
            "fax_number": "254-519-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S CLEAR CREEK RD STE 216",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494198",
            "telephone_number": "254-519-8803",
            "fax_number": "254-519-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MIRANDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.