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KELLY PARK
NPI 1801548417
Social Worker in Seattle, WA

Active since January 25, 2022
2100 24TH AVE S # 205, SEATTLE, WA 98144(206) 382-5340 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2025, Jan 25, 2022 (2 updates tracked since 2022).

About Kelly Park NPPES

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

KELLY PARK (NPI 1801548417) is an individual social worker in Seattle, Washington, licensed in Washington (SC61520989) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1801548417
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKELLY PARK
Location Address2100 24TH AVE S # 205Seattle, WA 98144-4637
Mailing Address2100 24th Ave S # 205Seattle, WA 98144-4637 · (206) 382-5340
Phone(206) 382-5340
Sole ProprietorYes
Enumeration DateJanuary 25, 2022
Last NPPES UpdateMay 28, 20252 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1801548417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in WA · SC61520989
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCounselorTaxonomy 101Y00000X
2100 24TH AVE S # 205, Seattle, WA 98144
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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 Kelly Park's NPI number?

The NPI number for Kelly Park is 1801548417. It was assigned to this individual provider in the NPPES registry on January 25, 2022.

Where is Kelly Park located?

Kelly Park practices at 2100 24th Ave S # 205, Seattle, WA 98144. The listed phone number is (206) 382-5340.

What is Kelly Park's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Kelly Park was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.