Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Jackson Parks IV

Individual provider Social Worker · NPI 1174913784

Andrew Jackson Parks IV is a Social Worker in Fresno, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

3433 W Shaw Ave
Fresno, CA 93711-3229
Phone: (559) 374-3990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2934 N Fresno St, Fresno, CA 93703-1123 — (559) 549-6697

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 108593 (CA)

Record details

NPI number1174913784
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 3, 2015
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025

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