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

Mrs. Deandra Michelle Parker

Individual provider Clinical Social Worker · NPI 1104423284

Mrs. Deandra Michelle Parker is a Clinical Social Worker in Fayetteville, North Carolina. Qualified in 2021, 5 years ago. Practices with Centerstone of Tennessee, Inc, a 115-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2020
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Practice location Address checks out

3505 Village Dr
Fayetteville, NC 28304-4513
Phone: (910) 615-3737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C018991 (NC)

Record details

NPI number1104423284
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 2, 2020
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Centerstone Of Tennessee, Inc. — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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