Active NPI
Mershona Parshall, LCSW, LISW, ATR-BC
- Clinical Social Worker
- Cedar Crest, NM
National Provider Identifier
1689705048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16808
- Practice address
- 144 Sangre de Cristo
Cedar Crest, NM 87008-9402 - Phone
- (440) 786-9838
- NPI assigned
- Mar 8, 2007
- Last updated
- Mar 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-0009397 | OH | |
| Clinical Social Worker | 1041C0700X | 16808 | AZ | Primary |
| Art Therapist | 221700000X | 11047 | OH |
Addresses
Primary practice location
144 Sangre de Cristo
Cedar Crest, NM 87008-9402
Mailing address
144 Sangre de Cristo
Cedar Crest, NM 87008-9402
Phone (440) 786-9838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180417002323 | AZ | Practitioner - Clinical Social Worker | 4385880640 | Practice locations: Cottonwood, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
753 N Main St
Suite B7
Cottonwood, AZ 86326-3661
Phone (440) 786-9838
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16808 | AZ | MD | Clinical Social Worker |
| I-0009397 | OH | MD | Clinical Social Worker |
| 11047 | OH | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1689705048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 SANGRE DE CRISTO",
"city": "CEDAR CREST",
"state": "NM",
"postal_code": "870089402",
"telephone_number": "440-786-9838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 SANGRE DE CRISTO",
"city": "CEDAR CREST",
"state": "NM",
"postal_code": "870089402",
"telephone_number": "440-786-9838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARSHALL",
"first_name": "MERSHONA",
"name_prefix": "Ms.",
"credential": "LCSW, LISW, ATR-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I-0009397",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "16808",
"primary": true
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "OH",
"license": "11047",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Crest, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.