ANDREW JACKSON PARKS IV


Address: 2140 Merced St, Fresno, CA 93721
Phone: 5598921125

ANDREW JACKSON PARKS IV (NPI# 1174913784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174913784
Entity Type Individual
Full Name ANDREW JACKSON PARKS IV
Practice Address 2140 Merced St
Fresno
CA 93721
Mailing Address 2140 Merced St
Fresno
CA 93721-1721
Practice Telephone 5598921125
Mailing Telephone 5598921125
Enumeration Date 2015-02-03
Last Update Date 2018-08-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
84147 CA Behavioral Health & Social Service Providers

Other Providers ANDREW PARKS

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1952946121 Andrew Parks Acupuncturist 3705 Kipling St Unit 105, Wheat Ridge, CO 80033-5791 2019-11-12
1316925548 Andrew W Parks Dentist 221 E Lancaster Ave, Shillington, PA 19607-2614 2006-01-06
1942825864 Andrew Parks Dentist 1007 Phillips Ave Ste 103, High Point, NC 27262-7371 2020-06-16
1932561586 Andrew Parks Internal Medicine 900 S Limestone Ctw 304, Lexington, KY 40536-0293 2016-03-23
1710372974 Andrew Michael Parks Family Medicine 310 Durel Dr, New Roads, LA 70760 2015-04-03

Office Location

Street Address 2140 MERCED ST
City FRESNO
State CA
Zip Code 93721

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659593192 Gerardo Puga Marriage & Family Therapist 2140 Merced St, Fresno, CA 93721-1721 2007-05-03
1528544020 Brenda Pheaktra Hem Counselor 2140 Merced St, Fresno, CA 93721-1721 2018-07-17
1790270031 Brenna Elise Garcia Counselor 2140 Merced St, Fresno, CA 93721-1721 2018-06-28
1548755861 Elia Lopez Counselor 2140 Merced St, Fresno, CA 93721-1721 2018-06-28
1558856286 Jayla Jamile Fiedor Counselor 2140 Merced St, Fresno, CA 93721 2018-06-26
1023502150 Wendy Davis Counselor 2140 Merced St, Fresno, CA 93721 2018-06-21
1043704588 Amanda Hem Licensed Vocational Nurse 2140 Merced St, Fresno, CA 93721-1721 2018-06-19
1033603436 Rasmee Vang Counselor 2140 Merced St, Fresno, CA 93721 2018-06-19
1205320785 James A Ortiz Counselor 2140 Merced St, Fresno, CA 93721-1721 2018-06-19
1679066716 Jeffrey Jerome Stanley Jr. Counselor 2140 Merced St, Fresno, CA 93721-1721 2018-06-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487297107 Fareeha Sipra Nurse Practitioner Fresno County Jail, 1225 M Street, Fresno, CA 93721 2019-10-25
1619521929 Kepler Education Incorporation Local Education Agency (LEA) 1462 Broadway St., Fresno, CA 93721 2019-07-25
1588156434 Micha Ramirez Case Manager/Care Coordinator 2140 Merced St., Fresno, CA 93721 2018-06-05
1649798992 Nadia C Martinez Licensed Vocational Nurse 1310 M. Street, Fresno, CA 93721 2017-09-07
1538604251 Be Together Home Care LLC In Home Supportive Care 2014 Tulare St Ste 605, Fresno, CA 93721 2017-01-04
1124426705 Central California Faculty Medical Group, Inc. Durable Medical Equipment & Medical Supplies 2554 Merced Street, Fresno, CA 93721 2014-12-12
1427455336 University Medical Supply Durable Medical Equipment & Medical Supplies 2554 Merced St, Fresno, CA 93721 2014-11-21
1154723542 Ryan Gil Physical Therapist 1350 O St Ste 201, Fresno, CA 93721 2014-09-17
1831526250 Tiffany Marie Gonzalez Counselor 2409 Mered St #106, Fresno, CA 93721 2013-09-30
1972939783 Reshale L Thomas Psychologist 2900 Fresno St Ste 108, Fresno, CA 93721 2013-09-25
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528668324 Paragon Counseling and Consulting Social Worker 2919 Driftwood Bend Dr, Fresno, TX 77545-6113 2020-10-30
1104431329 Sawndra Williams Social Worker 6434 N Vernal Ave, Fresno, CA 93722-9100 2020-09-14
1003429614 Allyson Jennifer Torres Social Worker 1156 W Escalon Ave, Fresno, CA 93711-2017 2020-08-25
1003431958 Samantha Oleson Social Worker 677 E Roberts Ave, Fresno, CA 93710-6244 2020-06-16
1871125005 Gursharn Kaur Sahota Social Worker 6671 E Dayton Ave, Fresno, CA 93727-9137 2020-02-05
1073162327 Brooke L Woods Social Worker 126 S Kona Ave, Fresno, CA 93727-3453 2019-09-10
1700439684 Candice Valencia Wilkins Social Worker 2490 W Shaw Ave Ste 101, Fresno, CA 93711-3063 2019-07-19
1528628765 Tyler Ryan Avila Social Worker 5150 N 6th St Ste 169, Fresno, CA 93710-7505 2019-06-19
1770141228 Cedrina Ruffin Social Worker 2407 Maywood Run Ct, Fresno, TX 77545-7141 2019-05-30
1477013282 Michael Francis Themins Social Worker 4721 W Jennifer Ave Ste 3, Fresno, CA 93722-6499 2019-03-20
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Competitor

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City FRESNO
Zip Code 93721

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Dataset Information

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.

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