Joann Park, LCSW
NPI 1619103595 · Clinical Social Worker · Staten Island, NY
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Joann Park, LCSW is a Clinical Social Worker provider in Staten Island, NY (NPI 1619103595).
Provider details
- NPI number
- 1619103595
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 073998 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
17 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
- 2009-06-04
- Last updated
- 2018-10-25
Frequently asked questions
- What is Joann Park's NPI number?
- Joann Park's National Provider Identifier (NPI) is 1619103595, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Joann Park's specialty?
- Joann Park is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Joann Park located?
- Joann Park's practice location on file with NPPES is 65 Columbus Ave, Staten Island, NY 10304-4325.
- What is Joann Park's phone number?
- The practice phone number listed in the NPPES registry for Joann Park is (718) 448-3210.
- Does Joann Park accept Medicare?
- Joann Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Joann Park's NPI active?
- Yes — Joann Park's NPI (1619103595) is active in the NPPES registry as of the last update on 2018-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.