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MR. SCOTT DAVID PARK LICSW
NPI 1053480129
Social Worker - Clinical in Worcester, MA

Active since November 06, 2006
52 CEDAR ST, WORCESTER, MA 01609(508) 752-5191(508) 792-1514 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Scott David Park Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SCOTT DAVID PARK LICSW (NPI 1053480129) is an individual clinical provider in Worcester, Massachusetts, licensed in Massachusetts (110803) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1053480129
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. SCOTT DAVID PARKCredential: LICSW
Location Address52 CEDAR STWorcester, MA 01609
Mailing Address52 Cedar StWorcester, MA 01609 · (508) 752-5191 · Fax (508) 792-1514
Phone(508) 752-5191
Fax(508) 792-1514
Sole ProprietorNo
Enumeration DateNovember 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1053480129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · 110803
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
52 CEDAR ST, Worcester, MA 01609
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Other Identifiers 1

Medicare ID-Type UnspecifiedP23966MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LAURA SILVA M.A.., LICMHC
Counselor (Mental Health)
52 CEDAR ST
WORCESTER, MA 01609
Worcester County (508) 754-1406
AMY E TESZ LMHC
Counselor (Mental Health)
52 CEDAR ST
WORCESTER, MA 01609
Worcester County (508) 752-5191
DR. KEITH C LEVY MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
52 CEDAR ST
WORCESTER, MA 01609
Worcester County (508) 752-5191
MRS. ROBYN MICHELLE GENTILOTTI-SIMONE N.P.
Nurse Practitioner (Psychiatric/Mental Health)
52 CEDAR ST
WORCESTER, MA 01609
Worcester County (508) 752-5191
PAUL ALAN SHIEBLER PSY D
Psychologist (Clinical)
52 CEDAR ST, PSYCHIATRY & FAMILY COUNSLG
WORCESTER, MA 01609
Worcester County (508) 752-5191
MS. JODIE RAPPING LMHC
Counselor (Mental Health)
52 CEDAR ST
WORCESTER, MA 01609
Worcester County (401) 952-0939
MS. KAREN L NELSON PC
Clinical Nurse Specialist
52 CEDAR ST
WORCESTER, MA 01609
Worcester County (508) 752-5191
DR. RUSSELL ARTHUR SURVEYER PH.D.
Counselor (Mental Health)
52 CEDAR ST
WORCESTER, MA 01609
Worcester County (508) 868-5609

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Park's NPI number?

The NPI number for Scott Park is 1053480129. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Scott Park located?

Scott Park practices at 52 Cedar St, Worcester, MA 01609. The listed phone number is (508) 752-5191.

What is Scott Park's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Scott Park accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Scott Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Scott Park was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.