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DANIEL PARK LCSW
NPI 1639502982
Social Worker - Clinical in Pocatello, ID

Active since August 09, 2013PECOS EnrolledAccepts Medicare Assignment
1001 N 7TH AVE, POCATELLO, ID 83201(208) 425-2489 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 25, 2022, Nov 13, 2018 (2 updates tracked since 2018).

About Daniel Park Lcsw NPPES

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

DANIEL PARK LCSW (NPI 1639502982) is an individual clinical provider in Pocatello, Idaho, licensed in Idaho (LCSW-37176) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1639502982
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDANIEL PARKCredential: LCSW
Location Address1001 N 7TH AVEPocatello, ID 83201-5761
Mailing Address500 S 11th Ave Ste 400Pocatello, ID 83201-4880 · (208) 232-7862
Phone(208) 425-2489
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 9, 2013
Last NPPES UpdateFebruary 16, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2024
✔ NPI 1639502982 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 ID · LCSW-37176
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 ListedSocial WorkerTaxonomy 104100000X · License LMSW-33074 (ID)
1001 N 7TH AVE, Pocatello, ID 83201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Select Health.Insurance ›

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

Daniel Park Lcsw 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 ID244576510
PECOS Enrollment IDI20190107003200
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 83201 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 $52.44 – $160.17
Typical copayment $0.00 (range $13.11 – $40.04)
Most-billed visit code NA
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 3

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

BETH AGRES
Speech-Language Pathologist
1001 N 7TH AVE
POCATELLO, ID 83201
Bannock County (208) 239-1490
BEHAVIORAL ENHANCEMENT SERVICES & TREATMENT LLC
Community/Behavioral Health
1001 N 7TH AVE
POCATELLO, ID 83201
Bannock County (208) 909-5177
BARTON VANDENBURG LPC, NCC
Counselor
1001 N 7TH AVE
POCATELLO, ID 83201
Bannock County (208) 242-9087

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 Daniel Park's NPI number?

The NPI number for Daniel Park is 1639502982. It was assigned to this individual provider in the NPPES registry on August 9, 2013.

Where is Daniel Park located?

Daniel Park practices at 1001 N 7th Ave, Pocatello, ID 83201. The listed phone number is (208) 425-2489.

What is Daniel Park's specialty?

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

Is Daniel Park enrolled in Medicare?

Yes. Daniel Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Daniel Park accept?

Health plans from Moda Health Plan, Inc. and Select Health list Daniel Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daniel Park was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.