Kenneth Parks, LICSW in Providence, RI - Medicare Social Worker Provider

Kenneth Parks, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Providence, Rhode Island. His current practice location is 530 N Main St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 274-2500.

Kenneth Parks is licensed to practice in Rhode Island (license number ISW02286) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215054440.

Contact Information

	Kenneth Parks, LICSW
	530 N Main St, Providence, RI 02904-5762
	(401) 274-2500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kenneth Parks
Gender	Male
Speciality	Social Worker - Clinical
Location	530 N Main St, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215054440
Provider Enumeration Date: 03/23/2007
Last Update Date: 02/13/2013

Medicare PECOS Information:

PECOS PAC ID: 0840477188
Enrollment ID: I20110614000253

Medical Identifiers

Medical identifiers for Kenneth Parks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215054440	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	ISW02286 (Rhode Island)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kenneth Parks allows following entities to bill medicare on his behalf.

Entity Name	Inner You Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225464209 PECOS PAC ID: 7113241142 Enrollment ID: O20150123000044

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Parks is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kenneth Parks, LICSW 528 N Main St, Providence, RI 02904-5757 Ph: () -	Kenneth Parks, LICSW 530 N Main St, Providence, RI 02904-5762 Ph: (401) 274-2500

Reviews and Comments

Social Worker in Providence, RI

Kelly Baraf, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 49 Pavilion Ave, Suite 105, Providence, RI 02905 Phone: 401-490-8900 Fax: 401-490-2619
Margarita Caballero-snyder, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Hope St, Providence, RI 02906 Phone: 401-331-1350 Fax: 401-277-3366
Amanda Baldaro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St., Providence, RI 02903 Phone: 401-444-4179
Emily Myer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 434 Mount Pleasant Ave, Providence, RI 02908 Phone: 888-612-7242 Fax: 401-444-0421
Robert B Hagberg, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 153 Summer St, Providence, RI 02903 Phone: 401-276-4300 Fax: 041-331-3285
Ms. Christina Stang, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 Hollywood Rd, Providence, RI 02909 Phone: 860-966-3171
Elizabeth Sevin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-723-7100

Kenneth Parks, LICSW - Medicare Clinical Social Worker in Providence, RI