Individual provider · Type 1 NPI
Shawna B. Park, LISW-S, LCDC III
Clinical Social Worker · Columbus, OH
Practice location
2327 Gavinley Way
Columbus, OH 43220-7335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10121 (OH) |
| Clinical Social Worker Primary | 1041C0700X | I.1101599 (OH) |
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 1679822084
Shawna B. Park, LISW-S, LCDC III's National Provider Identifier is 1679822084, issued on Aug 30, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbus, OH. The record was last updated on Jan 21, 2015.