Mr Donovan Park, is a
Social Worker - Clinical based in Ann Arbor, Michigan. Mr Donovan Park is licensed to practice in NU (license number ) and his current practice location is
2755 Carpenter Rd, Ann Arbor, Michigan. He can be reached at his office (for appointments etc.) via phone at
(734) 600-7873.
NPI number for Mr Donovan Park is 1366267569 and his current mailing address is 418 E Washington St Apt 21, Ann Arbor, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366267569.
Healthcare Provider's Profile
| Full Name | Mr Donovan Park |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 2755 Carpenter Rd, Ann Arbor, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366267569
- Provider Enumeration Date: 11/21/2024
- Last Update Date: 11/21/2024
Medical Identifiers
Medical identifiers for Mr Donovan Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366267569 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
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. Mr Donovan Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Donovan Park, 418 E Washington St Apt 21, Ann Arbor, MI 48104-2019 Ph: (978) 602-0846 | Mr Donovan Park, 2755 Carpenter Rd, Ann Arbor, MI 48108-1186 Ph: (734) 600-7873 |
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