Kenneth Park
NPI 1255768974 · Clinical Social Worker · San Bernardino, CA
Kenneth Park is a Clinical Social Worker provider in San Bernardino, CA (NPI 1255768974).
Provider details
- NPI number
- 1255768974
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 68555 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-09-27
- Last updated
- 2017-02-17
Frequently asked questions
- What is Kenneth Park's NPI number?
- Kenneth Park's National Provider Identifier (NPI) is 1255768974, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Park's specialty?
- Kenneth Park is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kenneth Park located?
- Kenneth Park's practice location on file with NPPES is 2372 Sterling Ave, San Bernardino, CA 92404-4624.
- What is Kenneth Park's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Park is (310) 421-9405.
- Is Kenneth Park's NPI active?
- Yes — Kenneth Park's NPI (1255768974) is active in the NPPES registry as of the last update on 2017-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.