Individual provider Active NPI

Mershona Parshall, LCSW, LISW, ATR-BC

  • Clinical Social Worker
  • Cedar Crest, NM
National Provider Identifier
1689705048
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16808 Issued in AZ
Practice address
144 Sangre de Cristo
Cedar Crest, NM 87008-9402
Phone
(440) 786-9838
NPI assigned
Mar 8, 2007
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
16808AZMDClinical Social Worker
I-0009397OHMDClinical Social Worker
11047OHMDArt 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

Verify at the official NPI Registry.