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MS. SHANNON ELAINE PARK LCSW
NPI 1194851808
Social Worker - Clinical in Medford, OR

Active since February 26, 2007
145 S, HOLLY STREET, SUITE A, MEDFORD, OR 97501(541) 773-5664(541) 773-5667 Get Directions Write a Review

NPPES record last updated: August 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Shannon Elaine Park Lcsw NPPES

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

MS. SHANNON ELAINE PARK LCSW (NPI 1194851808) is an individual clinical provider in Medford, Oregon, licensed in Oregon (L3339) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1194851808
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SHANNON ELAINE PARKCredential: LCSW
Location Address145 S, HOLLY STREET, SUITE AMedford, OR 97501-3101
Mailing Address145 S, Holly Street, Suite AMedford, OR 97501-3101 · (541) 773-5664 · Fax (541) 773-5667
Phone(541) 773-5664
Fax(541) 773-5667
Sole ProprietorYes
Enumeration DateFebruary 26, 2007
Last NPPES UpdateAugust 13, 2012
✔ NPI 1194851808 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 OR · L3339
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.
145 S, HOLLY STREET, Medford, OR 97501
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Other Identifiers 1

OtherL3339OR · License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

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 Shannon Park's NPI number?

The NPI number for Shannon Park is 1194851808. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Shannon Park located?

Shannon Park practices at 145 S, Holly Street Suite A, Medford, OR 97501. The listed phone number is (541) 773-5664.

What is Shannon Park's specialty?

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

What insurance does Shannon Park accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Shannon 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 Shannon Park was last updated on August 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.