MR. SCOTT DAVID PARK (NPI# 1053480129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053480129 |
| Entity Type | Individual |
| Full Name | MR. SCOTT DAVID PARK |
| Credential | LICSW |
| Practice Address |
52 Cedar St Worcester MA 01609 |
| Practice Telephone | 5087525191 |
| Practice Fax Number | 5087921514 |
| Mailing Telephone | 5087525191 |
| Mailing Fax Number | 5087921514 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
110803 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208514 | Scott Park | Registered Nurse | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2020-02-29 |
| 1538117601 | Scott Arthur Park | Physical Therapist | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2006-05-04 |
| Street Address |
52 CEDAR ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699887901 | Russell Arthur Surveyer | Counselor | 52 Cedar St, Worcester, MA 01609-2134 | 2006-08-31 |
| 1063795292 | Amy E Tesz | Counselor | 52 Cedar St, Worcester, MA 01609-2134 | 2011-09-23 |
| 1235433178 | Robyn Michelle Gentilotti-simone | Nurse Practitioner | 52 Cedar St, Worcester, MA 01609-2134 | 2011-01-07 |
| 1528389087 | Jodie Rapping | Counselor | 52 Cedar St, Worcester, MA 01609-2134 | 2010-06-18 |
| 1487822284 | James G Jacobsen | Social Worker | 52 Cedar St, Worcester, MA 01609 | 2008-02-14 |
| 1922127281 | Diana K Barton | Social Worker | 52 Cedar St, Psychiatry and Family Counseling, Worcester, MA 01609 | 2007-03-28 |
| 1992850663 | Psychiatry and Family Counseling of Worcester County, LLP | Social Worker | 52 Cedar St, Worcester, MA 01609-2134 | 2007-01-24 |
| 1013073212 | Laura Silva | Counselor | 52 Cedar St, Worcester, MA 01609-2134 | 2006-12-29 |
| 1407925290 | Paul Alan Shiebler | Psychologist | 52 Cedar St, Psychiatry & Family Counslg, Worcester, MA 01609 | 2006-11-07 |
| 1548345705 | Karen L Nelson | Clinical Nurse Specialist | 52 Cedar St, Worcester, MA 01609 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018388 | Alyssa Lynne Szymkowicz | Counselor | 2b Pelham Street, Apartment 3, Worcester, MA 01609 | 2019-11-19 |
| 1295200848 | Carmen P Rivera Martinez | Counselor | 20 Irving Street, Worcester, MA 01609 | 2018-10-10 |
| 1386126704 | Sarah J Macdonald | Psychologist | 27 Sever St, Worcester, MA 01609 | 2018-09-01 |
| 1437641107 | Christopher Quoc-duy Nguyen | Dentist | 111 Elm Street Suite 203, Worcester, MA 01609 | 2018-05-30 |
| 1396190096 | Dasa Home Health Inc | Home Health | 255 Park Ave Ste 1101a, Worcester, MA 01609 | 2016-04-30 |
| 1912306135 | Neighborhood Dental Group, PC | Dentist | 111 Elm St Suite 203, Worcester, MA 01609 | 2014-08-14 |
| 1306254875 | Brenda Mccarthy-trayah | Counselor | 198 Russell St., Worcester, MA 01609 | 2014-07-29 |
| 1386052009 | Allene Rizzolo | Early Intervention Provider Agency | 548 Park Ave., South Bay Early Intervention, Worcester, MA 01609 | 2014-07-25 |
| 1477849032 | Diversified Staffing | Nursing Care | 39 Salisbury Street, Worcester, MA 01609 | 2011-06-22 |
| 1508195140 | 64 Highland Dental | Dentist | 64 Highland Street, Worcester, MA 01609 | 2009-12-10 |
| Find all providers in zip 01609 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116275 | Brittany Ford Ford | Social Worker | 51 Union St Ste 116, Worcester, MA 01608-1134 | 2020-08-26 |
| 1508494717 | Jessie M Quintero Johnson | Social Worker | Likemind Mental Health & Wellness, Inc, 51 Union Street, Suite 222, Worcester, MA 01608-1134 | 2020-04-01 |
| 1477188068 | Lindsey Poulin | Social Worker | 116 Belmont Street, Suite 31, Worcester, MA 01605-0160 | 2020-03-04 |
| 1750936456 | Margaret Arcouette | Social Worker | 270 Sunderland Rd Apt 56, Worcester, MA 01604-2552 | 2019-08-08 |
| 1841757721 | Damaris Gray | Social Worker | 430 Chandler St, Worcester, MA 01602-2916 | 2019-02-27 |
| 1518437649 | Joanne Lynne Calista | Social Worker | 35 Harvard St Ste 300, Worcester, MA 01609-2828 | 2018-12-02 |
| 1871062828 | Richard Edward Miller | Social Worker | 18 Ascadilla Rd, Worcester, MA 01606-1507 | 2018-11-20 |
| 1457835910 | Richard R. Alix Jr. | Social Worker | 26 Radmore St, Worcester, MA 01602-1741 | 2018-09-20 |
| 1023592854 | Thomas Daniel Hopkins | Social Worker | 382 Plantation St, Worcester, MA 01605-2324 | 2018-09-18 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| Find all providers in WORCESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.