Individual provider Active NPI

Demetria Parnell, MSW LCSW

  • Clinical Social Worker
  • Montgomery, AL
National Provider Identifier
1659490373
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0578-1627C
Practice address
4520 Executive Park Dr
Suite B-100
Montgomery, AL 36116-1619
Phone
(334) 270-3181
Fax
(334) 270-5805
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0578-1627C Primary

Addresses

Primary practice location

4520 Executive Park Dr
Suite B-100
Montgomery, AL 36116-1619

Mailing address

4520 Executive Park Dr
Suite B-100
Montgomery, AL 36116-1619
Phone (334) 270-3181

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

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659490373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 EXECUTIVE PARK DR",
            "address_2": "SUITE B-100",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161619",
            "telephone_number": "334-270-3181",
            "fax_number": "334-270-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 EXECUTIVE PARK DR",
            "address_2": "SUITE B-100",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161619",
            "telephone_number": "334-270-3181",
            "fax_number": "334-270-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARNELL",
        "first_name": "DEMETRIA",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "0578-1627C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.