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Ellen Park

Social Worker, Clinical in Spring Valley, NY. Individual provider (NPI-1).

NPI number1689367476
StatusActive
Last updated in NPPESMay 30, 2023

Details

NPI
1689367476
Entity type
Individual (NPI-1)
Name
Ellen Park
Sex
Female
Sole proprietor
Yes
Enumeration date
May 30, 2023
Certification date
May 30, 2023
Last updated
May 30, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

232 N Main St
Spring Valley, NY 10977-4020

Phone 845-286-2210

Mailing address

232 N Main St
Spring Valley, NY 10977-4020

Phone 845-286-2210

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinical Social Worker providers in Spring Valley, NY

All 74 Clinical Social Worker providers in Spring Valley · All 1,493 providers in Spring Valley

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