Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANE M PARK, LCSW
Active Sole ProprietorDIANE M PARK, LCSW is a Clinical Social Worker healthcare provider located in OLD TAPPAN, New Jersey. NPI 1588392070 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · OLD TAPPAN, NJ
Registration Details
- NPI Number
- 1588392070
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 11, 2022 (3.9911858010809 yrs)
- Last Updated
- Feb 6, 2025
- License
-
44SL06829700 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
180 OLD TAPPAN RD STE 9OLD TAPPAN, NJ, 076757048Browse NJ providers · Browse ZIP 07675
- Phone
- 9293768868
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in OLD TAPPAN, NJ
| Name | Credential | NPI |
|---|---|---|
| MRS. BARBARA FORD LANOIL | MSW | 1831214477 |
| MS. NANCY B. GRAHAM | LCSW | 1376816959 |
| OSVALDO SANCHEZ | — | 1316339369 |
| MS. DIANA DE JESUS | LCSW | 1518416361 |
| SHERYL LEE | LCSW | 1124636675 |
| ROBIN GREEN GILMAN | — | 1932841699 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.