Individual provider Active NPI

Shawn A Parker, LCSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1710280102
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081488 Issued in NY
Practice address
224 Alexander St
Rochester, NY 14607-4000
Phone
(585) 922-7255
Fax
(585) 922-7246
NPI assigned
Dec 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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 081488 NY Primary

Addresses

Primary practice location

224 Alexander St
Rochester, NY 14607-4000

Mailing address

3491 Latta Rd
Rochester, NY 14612-2811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160106002611 NY Practitioner - Clinical Social Worker 2567764673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shawn Parker LCSW PLLCGroup PAC ID 5092017194, 2 clinicians

Practice addresses (Care Compare)

95 Allens Creek Rd
Suite 302
Rochester, NY 14618-3237
Phone (585) 568-7129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081488NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shawn Parker LCSW, PLLC Clinical CurrentSince Nov 1, 2015 Accepting new patients

Locations

95 Allens Creek Rd
Ste 302
Rochester, NY 14618
Phone (585) 483-0783

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1710280102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3491 LATTA RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146122811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 ALEXANDER ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146074000",
            "telephone_number": "585-922-7255",
            "fax_number": "585-922-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "SHAWN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-07",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.