Active NPI
Larissa Allison Parham, CSW
- Clinical Social Worker
- Lufkin, TX
National Provider Identifier
1740441039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 38564
- Practice address
- 4101 S Medford Dr
Lufkin, TX 75901-5633 - Phone
- (936) 633-5676
- NPI assigned
- Jun 19, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 38564 | TX | Primary |
Addresses
Primary practice location
4101 S Medford Dr
Lufkin, TX 75901-5633
Mailing address
4101 S Medford Dr
Lufkin, TX 75901-5633
Phone (936) 633-5676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88016Q | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225756800000",
"number": "1740441039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 S MEDFORD DR",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759015633",
"telephone_number": "936-633-5676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 S MEDFORD DR",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759015633",
"telephone_number": "936-633-5676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARHAM",
"first_name": "LARISSA",
"middle_name": "ALLISON",
"credential": "CSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-19",
"last_updated": "2008-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "38564",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "88016Q",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lufkin, TX
- Pain & Posture Care Centers of America P a
- Wallace E Paker, LPC
- David Patrick Palmer, R. PH.
- David T Palmer, D.D.S
- Pam Specialty Hospital of Lufkin, LLC (PAM Specialty Hospital of Lufkin)
- Parks Bell, Inc. (Cross Medical)
- Jamie Lynn Parks, FNP-C
- Allison Leann Parrish, MA, LPC
- Haley Parsons, FNP-C
- Bhavna Patel
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.