Diane M Park, LCSW
Social Worker, Clinical in Old Tappan, New Jersey
1588392070- Practice location
- 180 Old Tappan RD Ste 9, Old Tappan, NJ 07675-7048
- Phone
- 929-376-8868
- Fax
- —
- Last updated
- February 6, 2025
Diane M Park is a Social Worker, Clinical based in Old Tappan, NJ. Diane M Park practices in Old Tappan, NJ and has the professional credentials of LCSW. The NPI Number for Diane M Park is 1588392070 and holds a License No. 44SL06829700 (NJ). The current practice location address for Diane M Park is 180 Old Tappan RD Ste 9, Old Tappan, NJ 07675-7048 and can be reached out via phone at 929-376-8868.
Provider Profile Details
- NPI Number
- 1588392070
- Provider Name
- Diane M Park
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 180 Old Tappan RD Ste 9, Old Tappan, NJ 07675-7048
- Phone Number
- 929-376-8868
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 11, 2022
- Last Update Date
- February 6, 2025
- Certification Date
- February 6, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 180 Old Tappan RD Ste 9
Old Tappan, NJ 07675-7048 - City
- Old Tappan
- State
- New Jersey
- Zip
- 07675-7048
- Phone Number
- 929-376-8868
Provider Business Mailing Address Details
- Address
- 180 Old Tappan RD Ste 9
Old Tappan, NJ 07675-7048 - City
- Old Tappan
- State
- NJ
- Zip
- 07675-7048
- Phone Number
- 929-376-8868
License Information
- License Number
- 44SL06829700
- License State
- NJ
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Old Tappan, NJ
View all Social Worker, Clinical providers in Old Tappan →- Mrs. Barbara F Lanoil, MSWSocial Worker, Clinical · NPI 1831214477
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- Ms. Nancy B Graham, LCSWSocial Worker, Clinical · NPI 1376816959
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- Osvaldo SanchezSocial Worker, Clinical · NPI 1316339369
- Ozzy Sanchez, LCSWSocial Worker, Clinical · NPI 1023632353
Frequently Asked Questions
What is the NPI number of Diane M Park, LCSW?
The NPI number of Diane M Park, LCSW is 1588392070. It was assigned on August 11, 2022 and is currently active in the NPPES registry.
What is the specialty of Diane M Park, LCSW?
Diane M Park, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SL06829700.
Where does Diane M Park, LCSW practice?
The practice location is 180 Old Tappan RD Ste 9, Old Tappan, NJ 07675-7048. The office can be reached at 929-376-8868 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588392070 directly on the NPPES registry website.