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SHAWNA PARK LISW-S, LLC
NPI 1699164434
Social Worker - Clinical in Columbus, OH

Active since January 16, 2015
287 W JOHNSTOWN RD, COLUMBUS, OH 43230(216) 299-1517 Get Directions Write a Review

NPPES record last updated: January 16, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shawna Park Lisw-s, Llc NPPES

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

SHAWNA PARK LISW-S, LLC (NPI 1699164434) is a healthcare organization registered as a clinical in Columbus, Ohio and active in the NPI registry since January 2015. The organization lists Shawna Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1699164434
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSHAWNA PARK LISW-S, LLC
Location Address287 W JOHNSTOWN RDColumbus, OH 43230-2732
Mailing Address2327 Gavinley WayColumbus, OH 43220-7335 · (216) 299-1517
Phone(216) 299-1517
Organization SubpartNo
Authorized OfficialShawna ParkOwner · (216) 299-1517
Enumeration DateJanuary 16, 2015
✔ NPI 1699164434 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 · 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.
287 W JOHNSTOWN RD, Columbus, OH 43230
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawna Park Lisw-s, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shawna Park Lisw-S, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shawna Park, LISW-S, LCDC III
Clinical Social Worker
NPI 1679822084
2327 GAVINLEY WAY
Columbus, OH 43220
(216) 299-1517
✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lisw-S, LLC's NPI number?

The NPI number for Shawna Park Lisw-S, LLC is 1699164434. It was assigned to this organization in the NPPES registry on January 16, 2015.

Where is Shawna Park Lisw-S, LLC located?

Shawna Park Lisw-S, LLC is located at 287 W Johnstown Rd, Columbus, OH 43230. The listed phone number is (216) 299-1517.

What is Shawna Park Lisw-S, LLC's specialty?

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

Is Shawna Park Lisw-S, LLC enrolled in Medicare?

Yes. Shawna Park Lisw-S, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shawna Park Lisw-S, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Shawna Park Lisw-S, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shawna Park Lisw-S, LLC was last updated on January 16, 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.