Holly Elizabeth Parker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

084881 Issued in NY

Practice address

12 Mallard CV
Ballston Lake, NY 12019-1048

Phone

(518) 894-8307

Fax

(518) 889-2024

NPI assigned

Jun 13, 2019

Last updated

Nov 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Holly Elizabeth Parker Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Parker Therapy Services LCSW, PLLC

  dba Parker Psychological Services

  • Clinical Social Worker
  • Ballston Lake, NY
  • NPI 1710749619
  NPD

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1821657727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MALLARD CV",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191048",
            "telephone_number": "518-894-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MALLARD CV",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191048",
            "telephone_number": "518-894-8307",
            "fax_number": "518-889-2024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2452 US 9",
            "address_purpose": "LOCATION",
            "city": "Malta",
            "state": "NY",
            "postal_code": "12020",
            "country_code": "US",
            "telephone_number": "518-289-5555",
            "fax_number": "518-289-5560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "HOLLY",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "084881",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "PARKER",
            "middle_name": "ELIZABETH",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brianna Nevasini
• Ernest Charles North, D..MIN.(HC)
• Options With Learning, LLC
• Laura Anne Palumbo, MA CCC-SLP
• Parker Therapy Services LCSW, PLLC (Parker Psychological Services)
• Katelyn Perkins
• David Brooks Pierce, DDS
• Poppy Physical Therapy LLC
• Melovee Porter
• Bernard P Possidente, D.O.

• Clinical Social Worker in Ballston Lake, NY
• Providers in Ballston Lake, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.