Organization Active NPI

Nakisha Parillon Licsw LLC

  • Clinical Social Worker
  • Brockton, MA
National Provider Identifier
1619693140
Registry record updated Jan 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NAKISHA PARILLON LICSW LLC
Practice address
500 Westgate Dr # 1051
Brockton, MA 02301-1855
Phone
(617) 283-0654
NPI assigned
Oct 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2024

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

Authorized official

Name
Nakisha Parillon, LICSWNPI 1205354776
Title
Senior Clinician
Phone
(617) 283-0654

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

500 Westgate Dr # 1051
Brockton, MA 02301-1855

Mailing address

116 Mass Ave
Brockton, MA 02302-2539
Phone (617) 283-0654

Other practice location 1

116 Mass Ave
Brockton, MA 02302-2539
Phone (617) 283-0654

Other identifiers 1

IdentifierTypeStateIssuer
1205354776OtherMANPI

Other names 1

  • Nakisha Parillon LICSW LLC Doing business as

National Provider Directory

National Provider Directory

Locations

500 Westgate Dr
#1051
Brockton, MA 02301
Phone (617) 283-0654

Practitioners & affiliated clinicians

Practitioners 1

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": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705190400000",
    "number": "1619693140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MASS AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022539",
            "telephone_number": "617-283-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WESTGATE DR # 1051",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011855",
            "telephone_number": "617-283-0654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Mass Ave",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023022539",
            "country_code": "US",
            "telephone_number": "617-283-0654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NAKISHA PARILLON LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2024-01-14",
        "certification_date": "2024-01-14",
        "status": "A",
        "authorized_official_last_name": "PARILLON",
        "authorized_official_first_name": "NAKISHA",
        "authorized_official_title_or_position": "SENIOR CLINICIAN",
        "authorized_official_telephone_number": "617-283-0654",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205354776",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nakisha Parillon LICSW LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2024; 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.