Active NPI
Laura Christine Parker, LCSW
- Social Worker
- Fort Wayne, IN
National Provider Identifier
1952394769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 34000716A
- Practice address
- 415 E Cook Rd
Suite 100
Fort Wayne, IN 46825-3636 - Phone
- (260) 489-6030
- Fax
- (260) 489-5536
- NPI assigned
- Aug 26, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 34000716A | IN | |
| Social Worker | 104100000X | 34000716A | IN | Primary |
Addresses
Primary practice location
415 E Cook Rd
Suite 100
Fort Wayne, IN 46825-3636
Mailing address
415 E Cook Rd
Suite 100
Fort Wayne, IN 46825-3636
Phone (260) 489-6030
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 |
|---|---|---|---|
| 34000716A | IN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1952394769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 E COOK RD",
"address_2": "SUITE 100",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468253636",
"telephone_number": "260-489-6030",
"fax_number": "260-489-5536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 E COOK RD",
"address_2": "SUITE 100",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468253636",
"telephone_number": "260-489-6030",
"fax_number": "260-489-5536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "LAURA",
"middle_name": "CHRISTINE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-26",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IN",
"license": "34000716A",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "34000716A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.