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MS. JOELLEN MARIE BOSCH PARK
NPI 1083909212
Social Worker - Clinical in Anoka, MN

Active since June 15, 2011
3757 EDITH PATCH DR, ANOKA, MN 55303(612) 813-6138 Get Directions Write a Review

NPPES record last updated: June 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Joellen Marie Bosch Park NPPES

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

MS. JOELLEN MARIE BOSCH PARK (NPI 1083909212) is an individual clinical provider in Anoka, Minnesota, licensed in Minnesota (11609) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1083909212
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JOELLEN MARIE BOSCH PARK
Location Address3757 EDITH PATCH DRAnoka, MN 55303-8309
Mailing Address3757 Edith Patch DrAnoka, MN 55303-8309 · (612) 813-6138
Phone(612) 813-6138
Sole ProprietorYes
Enumeration DateJune 15, 2011
✔ NPI 1083909212 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 MN · 11609
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.
3757 EDITH PATCH DR, Anoka, MN 55303
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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 Joellen Park's NPI number?

The NPI number for Joellen Park is 1083909212. It was assigned to this individual provider in the NPPES registry on June 15, 2011.

Where is Joellen Park located?

Joellen Park practices at 3757 Edith Patch Dr, Anoka, MN 55303. The listed phone number is (612) 813-6138.

What is Joellen Park's specialty?

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

When was this NPI record last updated?

The NPPES record for Joellen Park was last updated on June 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.