MR. CHARLES J PARKER (NPI# 1164740825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164740825 |
| Entity Type | Individual |
| Full Name | MR. CHARLES J PARKER |
| Credential | MSW, LCSW, CADC |
| Practice Address |
19533 Lake Lynwood Dr Lynwood IL 60411-1420 |
| Practice Telephone | 7735077275 |
| Mailing Telephone | 7735077275 |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-05-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149013937 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548728454 | Charles Jeffery Parker Sr. | Driver | 240 Miller Rd, Winnfield, LA 71483-6130 | 2019-03-10 |
| 1578060208 | Charles Parker | Student in an Organized Health Care Education/Training Program | 14 Maryland Ave, Gaithersburg, MD 20877-2700 | 2018-04-09 |
| 1023533932 | Charles Parker | Driver | 8223 Sugar Run Rd, Jonesville, VA 24263-8305 | 2017-08-11 |
| 1346303443 | Charles R Parker | Optometrist | 13013 Broad St, Carmel, IN 46032-7226 | 2006-12-19 |
| 1689673253 | Charles E Parker | Psychiatry & Neurology | 6275 E Virginia Beach Blvd Ste 300, Norfolk, VA 23502-2851 | 2005-07-18 |
| 1568466274 | Charles D Parker | Family Medicine | 9755 West State Hwy 22, Ratcliff, AR 72951 | 2005-06-09 |
| 1295295913 | Charles Edwin Parker IIi | Physical Therapist | 175 Route 37 W, Toms River, NJ 08755-8046 | 2019-03-20 |
| 1528402583 | Charles Edward Parker | Respiratory Therapist, Registered | 800 Hospital Dr, Columbia, MO 65201-5275 | 2013-04-22 |
| 1063738342 | Charles Allen Parker | Otolaryngology | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2010-04-12 |
| 1972827145 | Charles Lenzy Parker | Pharmacist | 1620 Century Center Pkwy, Memphis, TN 38134-0181 | 2010-03-17 |
| Street Address |
19533 LAKE LYNWOOD DR |
| City | LYNWOOD |
| State | IL |
| Zip Code | 60411-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044236 | Bryant Healthy Living, LLC | Nurse Practitioner | 19404 N. Creek Drive, Lynwood, IL 60411 | 2020-05-12 |
| 1235657263 | Natisha Olaseni | Case Manager/Care Coordinator | 641 W. 63rd Street, Chicago, IL 60411 | 2017-08-30 |
| 1033644497 | Fresenius Medical Care Chicagoland, LLC | Clinic/Center | 15 E. Independence Drive, Chicago Heights, IL 60411 | 2017-04-24 |
| 1992251771 | Latonya West | Counselor | 1640 215th Pl, Sauk Village, IL 60411 | 2016-08-31 |
| 1063868586 | Oho and Associates | Non-emergency Medical Transport (VAN) | 1010 S. Dixie Hwy, Chicago Heights, IL 60411 | 2016-05-13 |
| 1578945309 | Albert Ellis Jr. | Counselor | 395 West Lincoln Highway, Chicago Heights, IL 60411 | 2015-06-29 |
| 1407238181 | Stephanie Touney | Behavioral Analyst | 450 West 14th Street, Chicago Heights, IL 60411 | 2015-06-18 |
| 1851788582 | Dlw Transporation Corp | Non-emergency Medical Transport (VAN) | 603 Andover, Chicago H.t.s., IL 60411 | 2015-04-21 |
| 1215338983 | Stephanie Anderson-bell | Occupational Therapist | 630 Ranger Dr., Chicago Heights, IL 60411 | 2014-09-11 |
| 1255778221 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 500 Dixie Highway, Chicago Heights, IL 60411 | 2013-05-30 |
| Find all providers in zip 60411 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740429349 | Cedria Roberson | Social Worker | 11705 Deputy Yamamoto Pl, Lynwood, CA 90262-4031 | 2009-02-05 |
| 1750502647 | Melba Marina Morales | Social Worker | 11605 Esther St, Apartment E, Lynwood, CA 90262-4141 | 2007-05-01 |
| 1538290242 | Jennifer Shane Calmelat | Social Worker | 2594 Industry Way, Lynwood, CA 90262-4015 | 2007-03-07 |
| 1437700796 | Doreen Maria Archuleta | Social Worker | 3630 E Imperial Hwy, Lynwood, CA 90262-2609 | 2019-09-26 |
| 1427617430 | Diana Jasmine Flores | Social Worker | 2620 Industry Way, Lynwood, CA 90262-4024 | 2019-06-12 |
| 1841789922 | Priscilla Gales | Social Worker | 11705 Deputy Yamamoto Pl, Lynwood, CA 90262-4031 | 2018-05-04 |
| 1770098824 | Cherelle Josette Shenisse Solomon | Social Worker | 3737 Martin Luther King Jr Blvd Ste 550, Lynwood, CA 90262-3536 | 2017-12-12 |
| 1427568583 | Camille Duhon | Social Worker | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2017-10-03 |
| 1659892636 | Elizabeth Iniguez | Social Worker | 3737 Martin Luther King Jr Blvd Ste 550, Lynwood, CA 90262-3536 | 2017-06-29 |
| 1457803942 | Karla Marina Arnold | Social Worker | 2620 Industry Way, Lynwood, CA 90262 | 2016-10-31 |
| Find all providers in LYNWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.