Individual provider · Type 1 NPI

Kenneth Park

Clinical Social Worker · San Bernardino, CA

NPI number 1255768974 Active

Practice location

2372 Sterling Ave
San Bernardino, CA 92404-4624

Call (310) 421-9405 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X68555 (CA)

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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About NPI 1255768974

Kenneth Park's National Provider Identifier is 1255768974, issued on Sep 27, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Bernardino, CA. The record was last updated on Feb 17, 2017.