Kimberly Parker, LCSW in Charlotte, NC - Medicare Clinical Social Worker Provider

Kimberly Parker, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Charlotte, North Carolina. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Shine Counseling, Pllc and her current practice location is 1931 J N Pease Pl Ste 104, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 548-1328.

Kimberly Parker is licensed to practice in North Carolina (license number C011428) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1922502061.

Contact Information

	Kimberly Parker, LCSW
	1931 J N Pease Pl Ste 104, Charlotte, NC 28262-4540
	(704) 548-1328
	(844) 786-5796

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Parker
Gender	Female
Speciality	Clinical Social Worker
Experience	22 Years
Location	1931 J N Pease Pl Ste 104, Charlotte, North Carolina
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Parker graduated from medical school in 2002

NPI Data:

NPI Number: 1922502061
Provider Enumeration Date: 03/22/2018
Last Update Date: 08/20/2023

Medicare PECOS Information:

PECOS PAC ID: 4082967666
Enrollment ID: I20181029001916

Medical Identifiers

Medical identifiers for Kimberly Parker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922502061	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	PO12090 (North Carolina)	Secondary
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	CSW006397 (Georgia)	Secondary
1041C0700X	Social Worker - Clinical	C011428 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shine Counseling, Pllc	5799017349	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Parker allows following entities to bill medicare on her behalf.

Entity Name	Shine Counseling, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871066019 PECOS PAC ID: 5799017349 Enrollment ID: O20191030003707

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Parker is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberly Parker, LCSW 1931 J N Pease Pl Ste 104, Charlotte, NC 28262-4540 Ph: (704) 548-1328	Kimberly Parker, LCSW 1931 J N Pease Pl Ste 104, Charlotte, NC 28262-4540 Ph: (704) 548-1328

Reviews and Comments

Social Worker in Charlotte, NC

Ms. Latonya Latrice Pompey, MSW, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5633 Monroe Rd, Suite D, Charlotte, NC 28212 Phone: 843-356-0719
Miss Meredith Canty Anderson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2512 Wingdale Dr, Charlotte, NC 28213 Phone: 843-230-6359
Anastashia Natasha Brown, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3541 Randolph Rd, Ste 210, Charlotte, NC 28211 Phone: 704-381-8336
Denise Doster, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10801 Johnston Rd, Suite 227, Charlotte, NC 28226 Phone: 980-299-1277
Sara Charles Goguen, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2125 Southend Dr, Suite 452, Charlotte, NC 28203 Phone: 704-378-1390 Fax: 704-378-1392
Mr. Andre Maurice Harvey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9711 David Taylor Dr Apt 104, Charlotte, NC 28262 Phone: 980-202-2526
Melissa Elder, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 Springbank Ln, Suite G, Charlotte, NC 28226 Phone: 980-288-8595

Kimberly Parker, LCSW - Medicare Clinical Social Worker in Charlotte, NC