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MS. JOANN PARK LCSW
NPI 1619103595
Social Worker - Clinical in Staten Island, NY

Active since June 04, 2009PECOS Enrolled
65 COLUMBUS AVE, STATEN ISLAND, NY 10304(718) 448-3210(718) 984-2642 Get Directions Write a Review

NPPES record last updated: October 25, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Joann Park Lcsw NPPES

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

MS. JOANN PARK LCSW (NPI 1619103595) is an individual clinical provider in Staten Island, New York, licensed in New York (073998-1) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619103595
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JOANN PARKCredential: LCSW
Location Address65 COLUMBUS AVEStaten Island, NY 10304-4325
Mailing Address2535 Arthur Kill RdStaten Island, NY 10309-1207 · (718) 448-3210 · Fax (718) 984-2642
Phone(718) 448-3210
Fax(718) 984-2642
Sole ProprietorNo
Enumeration DateJune 4, 2009
Last NPPES UpdateOctober 25, 2018
✔ NPI 1619103595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 073998-1
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 073998 (NY)
65 COLUMBUS AVE, Staten Island, NY 10304
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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 (PECOS)

Ms. Joann Park Lcsw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10304 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 $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 8

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

DR. SALVATORE DESENA MD
Radiology (Body Imaging)
65 COLUMBUS AVE
STATEN ISLAND, NY 10304
Richmond County (718) 448-3210
HEALTHCARE ASSOCIATES IN MEDICINE PC
Radiology (Diagnostic Neuroimaging)
65 COLUMBUS AVE
STATEN ISLAND, NY 10304
Richmond County (718) 448-3210
MISS KIERSTEN ELIZABETH ETTINGER LMHC
Counselor (Mental Health)
65 COLUMBUS AVE
STATEN ISLAND, NY 10304
Richmond County (718) 448-3210
HEATHER SIEGEL
Counselor (Mental Health)
65 COLUMBUS AVE
STATEN ISLAND, NY 10304
Richmond County (718) 448-3210
ALEJANDRO T MARIANO PT
Physical Therapist
65 COLUMBUS AVE
STATEN ISLAND, NY 10304
Richmond County (718) 448-3210
LINDSAY MIARMI PH.D.
Psychologist (Clinical)
65 COLUMBUS AVE
STATEN ISLAND, NY 10304
Richmond County (718) 448-3210
JOHNNA KATRINA VALERIO P.T.
Physical Therapist
65 COLUMBUS AVE
STATEN ISLAND, NY 10304
Richmond County (718) 448-3210
DR. MARIE E BRIODY PHD
Psychologist (Clinical)
65 COLUMBUS AVE
STATEN ISLAND, NY 10304
Richmond County (718) 448-3210

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 Joann Park's NPI number?

The NPI number for Joann Park is 1619103595. It was assigned to this individual provider in the NPPES registry on June 4, 2009.

Where is Joann Park located?

Joann Park practices at 65 Columbus Ave, Staten Island, NY 10304. The listed phone number is (718) 448-3210.

What is Joann Park's specialty?

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

Is Joann Park enrolled in Medicare?

Yes. Joann Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joann Park was last updated on October 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.