Individual provider Active NPI

Heidi Lorraine Parker, LCSW, FT

  • Clinical Social Worker
  • Guilderland, NY
National Provider Identifier
1962074146
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
091504-01 Issued in NY
Practice address
2280 Western Ave
Guilderland, NY 12084-9210
Phone
(518) 456-5056
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 091504-01 NY Primary

Addresses

Primary practice location

2280 Western Ave
Guilderland, NY 12084-9210

Mailing address

PO Box 770
Round Lake, NY 12151-0770
Phone (518) 366-1528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210820002842 NY Practitioner - Clinical Social Worker 2668877150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
091504-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Karner Psychological Associates PC CurrentSince Aug 1, 2021 Accepting new patients

Locations

2280 Western Ave
Guilderland, NY 12084
Phone (518) 456-5056

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1962074146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770",
            "city": "ROUND LAKE",
            "state": "NY",
            "postal_code": "121510770",
            "telephone_number": "518-366-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 WESTERN AVE",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120849210",
            "telephone_number": "518-456-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "HEIDI",
        "middle_name": "LORRAINE",
        "name_prefix": "Ms.",
        "credential": "LCSW, FT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091504-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilderland, NY

Sources for this page

Verify at the official NPI Registry.