Mignon N Parker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW006998 Issued in GA

Practice address

3206 Country Walk Dr
Powder Springs, GA 30127-3843

Phone

(617) 980-4886

NPI assigned

Jul 6, 2010

Last updated

Jan 9, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ilera Counseling, LLC

  • Mental Health Counselor
  • Powder Springs, GA
  • NPI 1467106823
  Authorized official Same address or phone

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1932411071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MELVILLE AVE",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021242106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 COUNTRY WALK DR",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301273843",
            "telephone_number": "617-980-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MIGNON",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominic Stephan Padgett, BCBA
• Faith Page
• Lydia Palmer, PT
• Jason Parish, PTA
• Dwayne Parker
• Khushali Patel
• Ricky Patel, DMD
• Sanket Patel
• Sheena Patel
• Leslie Patrick

• Clinical Social Worker in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.