| Shawn Parker Lcsw, Pllc | |
|
919 Winton Rd S Rochester NY 14618-1633 | |
| (585) 568-7129 | |
| Not Available |
| Full Name | Shawn Parker Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 919 Winton Rd S, Rochester, New York |
| Authorized Official Name and Position | Shawn Parker (CO-OWNER) |
| Authorized Official Contact | 7166972314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Parker Lcsw, Pllc 919 Winton Rd S Rochester NY 14618-1633 Ph: () - | Shawn Parker Lcsw, Pllc 919 Winton Rd S Rochester NY 14618-1633 Ph: (585) 568-7129 |
| NPI Number | 1427433895 |
|---|---|
| Provider Enumeration Date | 07/27/2015 |
| Last Update Date | 07/27/2015 |
| Medicare PECOS PAC ID | 5092017194 |
|---|---|
| Medicare Enrollment ID | O20160106002164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427433895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (New York) | Primary |
| Provider Name | Shawn A Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710280102 PECOS PAC ID: 2567764673 Enrollment ID: I20160106002611 |
| Provider Name | Julia Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992909659 PECOS PAC ID: 6103112883 Enrollment ID: I20160906002297 |
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