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

Q: 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.

Q: What is Joann Park's specialty?

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

Q: When was this NPI record last updated?

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

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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.