Daniel Park, LCSW
NPI 1639502982 · Clinical Social Worker · Pocatello, ID
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Daniel Park, LCSW is a Clinical Social Worker provider in Pocatello, ID (NPI 1639502982).
Provider details
- NPI number
- 1639502982
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- LCSW-37176 (ID)
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
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
- 2013-08-09
- Last updated
- 2024-02-16
- Certified
- 2024-02-16
Frequently asked questions
- What is Daniel Park's NPI number?
- Daniel Park's National Provider Identifier (NPI) is 1639502982, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Daniel Park's specialty?
- Daniel Park is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Daniel Park located?
- Daniel Park's practice location on file with NPPES is 1001 N 7th Ave, Pocatello, ID 83201-5761.
- What is Daniel Park's phone number?
- The practice phone number listed in the NPPES registry for Daniel Park is (208) 425-2489.
- Does Daniel Park accept Medicare?
- Daniel Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Daniel Park's NPI active?
- Yes — Daniel Park's NPI (1639502982) is active in the NPPES registry as of the last update on 2024-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.