Individual provider · Type 1 NPI

Joann Park, LCSW

Clinical Social Worker · Staten Island, NY

NPI number 1619103595 Active

Practice location

65 Columbus Ave
Staten Island, NY 10304-4325

Call (718) 448-3210 Map

Fax (718) 984-2642

Mailing address

2535 Arthur Kill Rd
Staten Island, NY 10309-1207

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X073998 (NY)
Clinical Social Worker Primary 1041C0700X073998-1 (NY)

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 1619103595

Joann Park, LCSW's National Provider Identifier is 1619103595, issued on Jun 4, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Staten Island, NY. The record was last updated on Oct 25, 2018.