Active NPI
Candace Janelle Parker, LCSW-A
- Clinical Social Worker
- Greenville, NC
National Provider Identifier
1649632449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P009073
- Practice address
- 401 Moye Blvd.
Greenville VA Health Care Center
Greenville, NC 27834-5583 - Phone
- (252) 830-2149
- NPI assigned
- Mar 22, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P009073 | NC | Primary |
Addresses
Primary practice location
401 Moye Blvd.
Greenville VA Health Care Center
Greenville, NC 27834-5583
Mailing address
2764 Meridian Dr
Apt.4
Greenville, NC 27834-5583
Phone (919) 356-0571
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
| License | State | Type | Specialty |
|---|---|---|---|
| P009073 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1649632449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2764 MERIDIAN DR",
"address_2": "APT.4",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345583",
"telephone_number": "919-356-0571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MOYE BLVD.",
"address_2": "GREENVILLE VA HEALTH CARE CENTER",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345583",
"telephone_number": "252-830-2149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "CANDACE",
"middle_name": "JANELLE",
"credential": "LCSW-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-22",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P009073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.