Individual provider Active NPI

Sherry Parker, LCSW

  • Clinical Social Worker
  • Lynchburg, VA
National Provider Identifier
1750762464
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005248 Issued in VA
Practice address
1617A Enterprise Dr
Lynchburg, VA 24502-5797
Phone
(434) 239-4949
Fax
(434) 239-4955
NPI assigned
Jun 18, 2015
Last updated
Jun 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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 0904005248 VA Primary

Addresses

Primary practice location

1617A Enterprise Dr
Lynchburg, VA 24502-5797

Mailing address

1617A Enterprise Dr
Lynchburg, VA 24502-5797
Phone (434) 239-4949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20150724011683 VA Practitioner - Clinical Social Worker 3476866013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patrick Henry Family Services OperationsGroup PAC ID 6103231444, 8 clinicians

Practice addresses (Care Compare)

1621 Enterprise Dr
Lynchburg, VA 24502-5797
Phone (434) 376-2006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904005248VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick Henry Family Services Operations CurrentSince Jan 1, 2021 Accepting new patients
Patrick Henry Boys and Girls Plantation Clinical Past Accepting new patients

Locations

718 7th St
Altavista, VA 24517

1029 Turnpike Rd
Ste G
Bedford, VA 24523
Phone (540) 586-3623

1621 Enterprise Dr
Lynchburg, VA 24502
Phone (434) 285-0600

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1750762464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617A ENTERPRISE DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025797",
            "telephone_number": "434-239-4949",
            "fax_number": "434-239-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617A ENTERPRISE DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025797",
            "telephone_number": "434-239-4949",
            "fax_number": "434-239-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "SHERRY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.