Individual provider · Type 1 NPI
Shannon Elaine Park, LCSW
Clinical Social Worker · Medford, OR
Practice location
145 S, Holly Street, Suite A
Medford, OR 97501-3101
Fax (541) 773-5667
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | L3339 (OR) |
Clinical Social Worker: 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 interpers…
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- Mary Adrienne Fansler, LCSWClinical Social Worker Medford, OR NPI 1043286636
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About NPI 1194851808
Shannon Elaine Park, LCSW's National Provider Identifier is 1194851808, issued on Feb 26, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Medford, OR. The record was last updated on Aug 13, 2012.