Active NPI
Tamica Parris, LCSW
- Clinical Social Worker
- Jamaica, NY
National Provider Identifier
1790224673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 084447-1
- Practice address
- 15315 124TH Ave
Jamaica, NY 11434-2314 - Phone
- (917) 807-7761
- NPI assigned
- Feb 13, 2017
- Last updated
- Feb 13, 2017
- 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 | 084447-1 | NY | Primary |
Addresses
Primary practice location
15315 124TH Ave
Jamaica, NY 11434-2314
Mailing address
15315 124TH Ave
Jamaica, NY 11434-2314
Phone (917) 807-7761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 084447-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486944000000",
"number": "1790224673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15315 124TH AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114342314",
"telephone_number": "917-807-7761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15315 124TH AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114342314",
"telephone_number": "917-807-7761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRIS",
"first_name": "TAMICA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-13",
"last_updated": "2017-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "084447-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
- Kimberly S Parks-Smith, LPN
- Leona Alicia Parks
- Theresa Parks, LCSW
- Jeannie-Anne Parlan, NP
- Vidato Parpan, PT
- Parsha Corporation (Community Pharmacy)
- Parsha Corporation (Community Pharmacy & Surgical Supplies)
- Parsons Medical Center Pharmacy, Inc.
- Sunil D Partap, MD
- Feliciano Rolando Pascal-Simpson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.