Individual provider Active NPI

James Henry Parks IV, LICSW, MSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1962164103
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC200002972 Issued in DC
Practice address
4420 Benning Rd NE
Washington, DC 20019-4555
Phone
(202) 235-1556
NPI assigned
Oct 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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 LC200002972 DC Primary

Addresses

Primary practice location

4420 Benning Rd NE
Washington, DC 20019-4555

Mailing address

224 46TH PL NE
Washington, DC 20019-4621
Phone (202) 294-9664

Other practice location 1

224 46th Pl NE
Washington, DC 20019-4621
Phone (202) 294-9664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Some, Inc Clinical CurrentSince Feb 8, 2024 Accepting new patients
Some, Inc Social Worker CurrentSince Feb 8, 2024 Accepting new patients

Locations

60 O St NW
Washington, DC 20001
Phone (202) 797-8806

4420 Benning Rd NE
Washington, DC 20019
Phone (202) 235-1556

Organizations & group practices 2

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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1962164103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 46TH PL NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200194621",
            "telephone_number": "202-294-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 BENNING RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200194555",
            "telephone_number": "202-235-1556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 46th Pl NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200194621",
            "country_code": "US",
            "telephone_number": "202-294-9664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS",
        "first_name": "JAMES",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "LICSW, MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-05",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200002972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.