Bruce Shea Parker, MA, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

070208 Issued in NY

Practice address

48 Country Club LN
Woodstock, NY 12498-1839

Phone

(845) 679-5464

NPI assigned

Jun 26, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Total Life NJ PAGroup PAC ID 8921549551, 13 clinicians

Errol R. Nadler, LCSW, P.C.Group PAC ID 2466342894, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Errol R. Nadler LCSW, P.C.

  • Clinical Social Worker
  • Kingston, NY
  • NPI 1881757896
  Medicare reassignment Care Compare group NPD
• Total Life NJ P.a.

  • Cognitive & Behavioral Psychologist
  • New Brunswick, NJ
  • NPI 1104659614

  NY

  Medicare reassignment Care Compare group NPD
• Senior Care Therapy LCSW of New York PLLC

  • Clinical Social Worker
  • Flushing, NY
  • NPI 1932677168
  Medicare reassignment NPD

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1497917835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 COUNTRY CLUB LN",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124981839",
            "telephone_number": "845-679-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 COUNTRY CLUB LN",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124981839",
            "telephone_number": "845-679-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "BRUCE",
        "middle_name": "SHEA",
        "name_prefix": "Mr.",
        "credential": "MA, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Nielsen
• Elizabeth Nielson, PHD
• Brittany Monique O'Neil, LMT
• One World Family Medicine PC
• Marcia Darrelee Panza, R.N.
• Brian Pasquariello, LMSW
• Emily Ann Passik, LMSW
• Claudia Gutman Patch, D.M.D
• Shivani Patel
• Heather Dawn Pecoraro, MHC-LP

• Clinical Social Worker in Woodstock, NY
• Providers in Woodstock, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.