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SHAWNA B PARK LISW-S, LCDC III
NPI 1679822084
Social Worker - Clinical in Columbus, OH

Active since August 30, 2012PECOS EnrolledAccepts Medicare Assignment
2327 GAVINLEY WAY, COLUMBUS, OH 43220(216) 299-1517 Get Directions Write a Review

NPPES record last updated: January 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shawna B Park Lisw-s, Lcdc Iii NPPES

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

SHAWNA B PARK LISW-S, LCDC III (NPI 1679822084) is an individual clinical provider in Columbus, Ohio, licensed in Ohio (I.1101599) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1679822084
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHAWNA B PARKCredential: LISW-S, LCDC III
Location Address2327 GAVINLEY WAYColumbus, OH 43220-7335
Mailing Address2327 Gavinley WayColumbus, OH 43220-7335 · (216) 299-1517
Phone(216) 299-1517
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 30, 2012
Last NPPES UpdateJanuary 21, 2015
✔ NPI 1679822084 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 OH · I.1101599
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 10121 (OH)
2327 GAVINLEY WAY, Columbus, OH 43220
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance and more.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

Shawna B Park Lisw-s, Lcdc Iii 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 ID1658523899
PECOS Enrollment IDI20121214000223
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 43220 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.

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 Shawna Park's NPI number?

The NPI number for Shawna Park is 1679822084. It was assigned to this individual provider in the NPPES registry on August 30, 2012.

Where is Shawna Park located?

Shawna Park practices at 2327 Gavinley Way, Columbus, OH 43220. The listed phone number is (216) 299-1517.

What is Shawna Park's specialty?

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

Is Shawna Park enrolled in Medicare?

Yes. Shawna 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 Shawna Park accept?

Health plans from CareSource, MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Shawna 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 Shawna Park was last updated on January 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.