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KENNETH PARKS LICSW
NPI 1215054440
Social Worker - Clinical in North Kingstown, RI

Active since March 23, 2007PECOS Enrolled
1130 TEN ROD RD STE 201, NORTH KINGSTOWN, RI 02852(401) 575-2539 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kenneth Parks Licsw NPPES

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

KENNETH PARKS LICSW (NPI 1215054440) is an individual clinical provider in North Kingstown, Rhode Island, licensed in Rhode Island (ISW02286) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215054440
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKENNETH PARKSCredential: LICSW
Location Address1130 TEN ROD RD STE 201North Kingstown, RI 02852-4161
Mailing Address1130 Ten Rod Rd Ste 201North Kingstown, RI 02852-4161 · (401) 575-2539
Phone(401) 575-2539
Sole ProprietorNo
Enumeration DateMarch 23, 2007
Last NPPES UpdateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
✔ NPI 1215054440 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 RI · ISW02286
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.
1130 TEN ROD RD STE 201, North Kingstown, RI 02852
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Parks Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Parks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Inner You LLC
12 mi
Clinical
1023 POST RD
Warwick, RI 02888
  • Reassigned Medicare billing, Rhode Island enrollment
  • 30 clinicians in this Medicare group
NPI 1225464209 (401) 773-7116

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02852 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.57 – $177.03
Typical copayment $0.00 (range $14.64 – $44.25)
Most-billed visit code NA
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

BENJAMIN RYAN JACK BCBA
Behavior Analyst
1130 TEN ROD RD STE 201
NORTH KINGSTOWN, RI 02852
Washington County (401) 294-3990
MRS. AVERY LEE COUTURE LMHC-A
Counselor (Mental Health)
1130 TEN ROD RD STE 201
NORTH KINGSTOWN, RI 02852
Washington County (401) 398-7681
ILLARIA FUSCO MS, BCBA, LBA
Behavior Analyst
1130 TEN ROD RD STE 201
NORTH KINGSTOWN, RI 02852
Washington County (401) 294-3990
MAGDALENA SABATINO
Counselor (Mental Health)
1130 TEN ROD RD STE 201
NORTH KINGSTOWN, RI 02852
Washington County (401) 829-9554

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 Kenneth Parks's NPI number?

The NPI number for Kenneth Parks is 1215054440. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Kenneth Parks located?

Kenneth Parks practices at 1130 Ten Rod Rd Ste 201, North Kingstown, RI 02852. The listed phone number is (401) 575-2539.

What is Kenneth Parks's specialty?

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

Is Kenneth Parks enrolled in Medicare?

Yes. Kenneth Parks is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Parks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Parks reassigns Medicare benefits to Inner You LLC (Warwick, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Parks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth Parks was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.