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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY HARDING PARK LISW
NPI 1629789797
Social Worker - Clinical in Cuyahoga Falls, OH

Active since December 09, 2022PECOS Enrolled
1630 SCHILLER AVE STE 3, #1001, CUYAHOGA FALLS, OH 44223(904) 513-8777 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 17, 2026, Jul 29, 2026, Jul 15, 2026 and 3 more (6 updates tracked since 2022).

About Kimberly Harding Park Lisw NPPES

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

KIMBERLY HARDING PARK LISW (NPI 1629789797) is an individual clinical provider in Cuyahoga Falls, Ohio, licensed in Ohio (I.2608335) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629789797
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY HARDING PARKCredential: LISW
Location Address1630 SCHILLER AVE STE 3, #1001Cuyahoga Falls, OH 44223
Mailing Address1630 Schiller Ave Ste 3, #1001Cuyahoga Falls, OH 44223 · (904) 513-8777
Phone(904) 513-8777
Sole ProprietorNo
Enumeration DateDecember 9, 2022
Last NPPES UpdateSeptember 17, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1629789797 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 OH · I.2608335
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.
1630 SCHILLER AVE STE 3, #1001, Cuyahoga Falls, OH 44223
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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)

Kimberly Harding Park Lisw 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 44223 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 $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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

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

KIMBERLY PARK LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1630 SCHILLER AVE STE 3, #1001
CUYAHOGA FALLS, OH 44223
Summit County (904) 513-8777

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 Kimberly Park's NPI number?

The NPI number for Kimberly Park is 1629789797. It was assigned to this individual provider in the NPPES registry on December 9, 2022.

Where is Kimberly Park located?

Kimberly Park practices at 1630 Schiller Ave Ste 3, #1001, Cuyahoga Falls, OH 44223. The listed phone number is (904) 513-8777.

What is Kimberly Park's specialty?

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

Is Kimberly Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Park was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.