Chad A Parker, DSW, LMSW, LPC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C11250 Issued in MS

Practice address

1801 E Main St
Tupelo, MS 38804-2934

Phone

(662) 397-9072

NPI assigned

Feb 10, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tupelo Children'S Mansion, Inc.

  • Foster Care Agency
  • Tupelo, MS
  • NPI 1790542454
  NPD Authorized official

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1760014518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388042934",
            "telephone_number": "662-397-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388042934",
            "telephone_number": "662-397-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "CHAD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DSW, LMSW, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-10",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78962",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C11250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg R Parham, CRNA
• Park Dental Group - Tupelo PLLC
• Shanti Parkash
• Anna Lauren Parker, M.S., CCC-SLP
• Bryan Parker
• Donald Ricky Parker, M.D.
• Holley M Parker, CPNP-PC
• James Clayton Parker III, MD
• Kayla Christine Parker, OTR/L
• Lori Parker

• Clinical Social Worker in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.