Individual ProviderJustin ParkerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address460 W 34th St, 11th Floor, New York, NY 10001-2320(917) 225-3457(212) 273-6100PECOS EnrollmentBased on the most recent information from CMS, provider Justin Parker is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1710224209Provider TypeIndividualFull NameParker, JustinCredentialLCSWGenderMaleSole ProprietorYesEnumeration Date1/3/2013Last Updated3/28/2017Contact InformationPractice LocationPractice Address460 W 34th St, 11th Floor, New York, NY 10001-2320Phone(917) 225-3457FaxUnlisted FaxMailing LocationMailing Address460 W 34th St, 11th Floor, New York, NY 10001-2320Phone(212) 273-6100FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense085321New YorkCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense081173New York