MRS. DEANDRA MICHELLE PARKER
NPI 1104423284
Social Worker - Clinical in Fayetteville, NC

Q: What is Deandra Parker's NPI number?

The NPI number for Deandra Parker is 1104423284. It was assigned to this individual provider in the NPPES registry on October 2, 2020.

Q: What is Deandra Parker's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Deandra Parker was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 02, 2020PECOS EnrolledAccepts Medicare Assignment

3505 VILLAGE DR, FAYETTEVILLE, NC 28304(910) 615-3737 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2025, Oct 2, 2020 (2 updates tracked since 2020).

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About Mrs. Deandra Michelle Parker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DEANDRA MICHELLE PARKER (NPI 1104423284) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (C018991) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104423284

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. DEANDRA MICHELLE PARKER

Location Address3505 VILLAGE DRFayetteville, NC 28304-4513

Mailing Address3505 Village DrFayetteville, NC 28304-4513

Phone(910) 615-3737

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 2, 2020

Last NPPES UpdateJune 10, 20262 updates tracked since enumeration

NPPES CertifiedJune 10, 2026

✔ NPI 1104423284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NC · C018991

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.

3505 VILLAGE DR, Fayetteville, NC 28304

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Deandra Michelle Parker is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193214963

PECOS Enrollment IDI20251030005081

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.12 – $165.09

Typical copayment $0.00 (range $13.53 – $41.27)

Most-billed visit code NA

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VALLEY BEHAVIORAL HEALTH LLC

Psychiatry & Neurology (Psychiatry)