Individual provider Active NPI

Tasha Lynn Parker, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1639457328
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4311 Issued in KS
Practice address
650 N Carriage Pkwy Ste 135
Wichita, KS 67208-4514
Phone
(316) 927-3010
NPI assigned
Jul 28, 2011
Last updated
Oct 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8116 KS
Clinical Social Worker 1041C0700X 4311 KS Primary

Addresses

Primary practice location

650 N Carriage Pkwy Ste 135
Wichita, KS 67208-4514

Mailing address

5517 Plaza LN
Wichita, KS 67208-4154
Phone (316) 650-9285

Other practice location 1

727 N Waco Ave Ste 575
Wichita, KS 67203-3951
Phone (316) 202-8672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20160212001837 KS Practitioner - Clinical Social Worker 4981908845 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8116KSMDSocial Worker
4311KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Christina Granados Therapy LLC Clinical CurrentSince Dec 25, 2018 Accepting new patients

Locations

727 N Waco Ave
Ste 575
Wichita, KS 67203
Phone (316) 202-8549

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1639457328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5517 PLAZA LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084154",
            "telephone_number": "316-650-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N CARRIAGE PKWY STE 135",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084514",
            "telephone_number": "316-927-3010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 N Waco Ave Ste 575",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672033951",
            "country_code": "US",
            "telephone_number": "316-202-8672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "TASHA",
        "middle_name": "LYNN",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "8116",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.