EUNSONG PARK LMSW
NPI 1912925702
Counselor in Buffalo, NY

Active since July 18, 2006
359 GRIDER ST, BUFFALO, NY 14215(716) 895-7715(716) 893-1692 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eunsong Park Lmsw NPPES

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

EUNSONG PARK LMSW (NPI 1912925702) is an individual counselor in Buffalo, New York, licensed in New York (066624) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1912925702
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameEUNSONG PARKCredential: LMSW
Location Address359 GRIDER STBuffalo, NY 14215-3016
Mailing Address525 Washington St, Managed Care DepartmentBuffalo, NY 14203-1711 · (716) 856-4494 · Fax (716) 842-1277
Fax(716) 893-1692
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1912925702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in NY · 066624
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
359 GRIDER ST, Buffalo, NY 14215

Other Identifiers 2

Other00030241501NY · Univera
Other000506354004NY · Community Blue

Other Providers at the Same Location NPPES 11

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

Counselor
359 GRIDER ST
BUFFALO, NY 14215
Social Worker
359 GRIDER ST
BUFFALO, NY 14215
Social Worker
359 GRIDER ST
BUFFALO, NY 14215
Counselor
359 GRIDER ST
BUFFALO, NY 14215
Counselor
359 GRIDER ST
BUFFALO, NY 14215
Social Worker
359 GRIDER ST
BUFFALO, NY 14215
Registered Nurse
359 GRIDER ST
BUFFALO, NY 14215
Counselor
359 GRIDER ST
BUFFALO, NY 14215

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 Eunsong Park's NPI number?

The NPI number for Eunsong Park is 1912925702. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Eunsong Park located?

Eunsong Park practices at 359 Grider St, Buffalo, NY 14215. The listed phone number is (716) 895-7715.

What is Eunsong Park's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Eunsong Park was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.