Ms Joann Park, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Staten Island, New York. Her current practice location is
65 Columbus Ave, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 448-3210.
Ms Joann Park is licensed to practice in New York (license number 073998-1) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619103595.
Healthcare Provider's Profile
Full Name | Ms Joann Park |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 65 Columbus Ave, Staten Island, New York |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Joann Park attended and graduated from in
NPI Data:
- NPI Number: 1619103595
- Provider Enumeration Date: 06/04/2009
- Last Update Date: 10/25/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Joann Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619103595 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 073998 (New York) | Secondary |
1041C0700X | Social Worker - Clinical | 073998-1 (New York) | 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. Ms Joann Park 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 |
Ms Joann Park, LCSW 2535 Arthur Kill Rd, Staten Island, NY 10309-1207 Ph: (718) 448-3210 | Ms Joann Park, LCSW 65 Columbus Ave, Staten Island, NY 10304-4325 Ph: (718) 448-3210 |
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