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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.

NICHOLAS RYAN PARK
NPI 1780466623
Social Worker - Clinical in Poughkeepsie, NY

Active since October 16, 2023
510 HAIGHT AVE STE 203, POUGHKEEPSIE, NY 12603(518) 245-6272(518) 721-8343 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2026, Oct 16, 2023 (2 updates tracked since 2023).

About Nicholas Ryan Park NPPES

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

NICHOLAS RYAN PARK (NPI 1780466623) is an individual clinical provider in Poughkeepsie, New York, licensed in New York (102896) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1780466623
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameNICHOLAS RYAN PARK
Location Address510 HAIGHT AVE STE 203Poughkeepsie, NY 12603-7205
Mailing Address510 Haight Ave Ste 203Poughkeepsie, NY 12603-7205 · (518) 245-6272 · Fax (518) 721-8343
Phone(518) 245-6272
Fax(518) 721-8343
Sole ProprietorYes
Enumeration DateOctober 16, 2023
Last NPPES UpdateOctober 9, 20262 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1780466623 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 NY · 102896
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.
510 HAIGHT AVE STE 203, Poughkeepsie, NY 12603
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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.

DANIELLE BROFMAN LCSW
Social Worker
510 HAIGHT AVE STE 203
POUGHKEEPSIE, NY 12603
Dutchess County (518) 245-6272
JOSHUA WILBURN LMHC
Counselor (Mental Health)
510 HAIGHT AVE STE 203
POUGHKEEPSIE, NY 12603
Dutchess County (518) 245-6272
ANNA M MCNEAL
Social Worker (Clinical)
510 HAIGHT AVE STE 203
POUGHKEEPSIE, NY 12603
Dutchess County (518) 245-6272

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 Nicholas Park's NPI number?

The NPI number for Nicholas Park is 1780466623. It was assigned to this individual provider in the NPPES registry on October 16, 2023.

Where is Nicholas Park located?

Nicholas Park practices at 510 Haight Ave Ste 203, Poughkeepsie, NY 12603. The listed phone number is (518) 245-6272.

What is Nicholas Park's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicholas Park was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.