Individual provider Active NPI

Lisa Macdonald Parrish, LCSW

  • School Social Worker
  • Fredericksburg, VA
National Provider Identifier
1588295588
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
0904005173 Issued in VA
Practice address
12301 Spotswood Furnace Rd
Fredericksburg, VA 22407-2208
Phone
(540) 760-6809
NPI assigned
Jan 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 0904005173 VA Primary

Addresses

Primary practice location

12301 Spotswood Furnace Rd
Fredericksburg, VA 22407-2208

Mailing address

12301 Spotswood Furnace Rd
Fredericksburg, VA 22407-2208
Phone (540) 760-6809

Other identifiers 1

IdentifierTypeStateIssuer
0904005173MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Spotsylvania

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

State licenses

LicenseStateTypeSpecialty
0904005173VAMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1588295588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 SPOTSWOOD FURNACE RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224072208",
            "telephone_number": "540-760-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 SPOTSWOOD FURNACE RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224072208",
            "telephone_number": "540-760-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "LISA",
        "middle_name": "MACDONALD",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "VA",
            "license": "0904005173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0904005173",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Spotsylvania",
            "affiliation": "N",
            "address_1": "12301 Spotswood Furnace Rd",
            "city": "Fredericksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224072208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.