Active NPI
Cheryl Leigh Parker, L.C.S.W.
- Clinical Social Worker
- Bend, OR
National Provider Identifier
1497954028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2490
- Practice address
- 1340 NW Wall St
Bend, OR 97701-1985 - Phone
- (541) 385-1747
- Fax
- (541) 388-6617
- NPI assigned
- Jul 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2940 | OR | |
| Clinical Social Worker | 1041C0700X | 2490 | OR | Primary |
Addresses
Primary practice location
1340 NW Wall St
Bend, OR 97701-1985
Mailing address
1340 NW Wall St
Bend, OR 97701-1985
Phone (541) 385-1747
Other names 1
- Cheryl Leigh Krkoc--Parker
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2490 | OR | MD | Clinical Psychologist |
| 2940 | OR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328054400000",
"number": "1497954028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 NW WALL ST",
"city": "BEND",
"state": "OR",
"postal_code": "977011985",
"telephone_number": "541-385-1747",
"fax_number": "541-388-6617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 NW WALL ST",
"city": "BEND",
"state": "OR",
"postal_code": "977011985",
"telephone_number": "541-385-1747",
"fax_number": "541-388-6617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "CHERYL",
"middle_name": "LEIGH",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-13",
"last_updated": "2012-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "2940",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "2490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "KRKOC--PARKER",
"middle_name": "LEIGH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.