MS. CAROLINE KENDALL PARK MSW
NPI 1487472189
Social Worker in Virginia Beach, VA

Q: What is Caroline Park's NPI number?

The NPI number for Caroline Park is 1487472189. It was assigned to this individual provider in the NPPES registry on October 1, 2024.

Q: What is Caroline Park's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Caroline Park was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 01, 2024PECOS EnrolledAccepts Medicare Assignment

4460 CORPORATION LN STE 300, VIRGINIA BEACH, VA 23462(757) 376-8167 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 2, 2025, Oct 1, 2024 (2 updates tracked since 2024).

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About Ms. Caroline Kendall Park Msw NPPES

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

MS. CAROLINE KENDALL PARK MSW (NPI 1487472189) is an individual social worker in Virginia Beach, Virginia and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1487472189

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. CAROLINE KENDALL PARKCredential: MSW

Location Address4460 CORPORATION LN STE 300Virginia Beach, VA 23462-3150

Mailing Address4460 Corporation Ln Ste 300Virginia Beach, VA 23462-3150 · (757) 376-8167

Phone(757) 376-8167

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 1, 2024

Last NPPES UpdateDecember 2, 20252 updates tracked since enumeration

NPPES CertifiedDecember 2, 2025

✔ NPI 1487472189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

4460 CORPORATION LN STE 300, Virginia Beach, VA 23462

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Caroline Kendall Park Msw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951889310

PECOS Enrollment IDI20260128002370

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.

Other Providers at the Same Location NPPES 19

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

MRS. MARTHA LEEANNA MALPASS-HAUERT LPC

Counselor (Professional)