Mr Kenneth Park, in San Bernardino, CA

Mr Kenneth Park, is a Social Worker - Clinical based in San Bernardino, California. Mr Kenneth Park is licensed to practice in California (license number 68555) and his current practice location is 2372 Sterling Ave, San Bernardino, California. He can be reached at his office (for appointments etc.) via phone at (310) 421-9405.

NPI number for Mr Kenneth Park is 1255768974 and his current mailing address is 2372 Sterling Ave, San Bernardino, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255768974.

Contact Information

	Mr Kenneth Park,
	2372 Sterling Ave, San Bernardino, CA 92404-4624
	(310) 421-9405
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kenneth Park
Gender	Male
Speciality	Social Worker - Clinical
Location	2372 Sterling Ave, San Bernardino, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1255768974
Provider Enumeration Date: 09/27/2013
Last Update Date: 02/17/2017

Medical Identifiers

Medical identifiers for Mr Kenneth Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255768974	NPI	-	NPPES
ASW #68555	Other	CA	BOARD OF BEHAVIORAL SCIENCES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	68555 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kenneth Park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Kenneth Park, 2372 Sterling Ave, San Bernardino, CA 92404-4624 Ph: (310) 421-9405	Mr Kenneth Park, 2372 Sterling Ave, San Bernardino, CA 92404-4624 Ph: (310) 421-9405

Reviews and Comments

Social Worker in San Bernardino, CA

Ms. Crystal Lynn Blakkan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1738 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-693-3302
Emily J. Taylor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1255 E Highland Ave Ste 107, San Bernardino, CA 92404 Phone: 909-648-7643
Enas Joseph, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 E Gilbert St, San Bernardino, CA 92415 Phone: 909-387-6940
Monique Castaneda, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 820 E Gilbert St, San Bernardino, CA 92415 Phone: 909-387-7200
Susan Kimberly Gilliam, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2080 S E St, San Bernardino, CA 92408 Phone: 909-388-9191
Rajvi Patel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1738 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-693-3302
Kimberly A Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1760 W 16th St, San Bernardino, CA 92411 Phone: 909-473-1200

Mr Kenneth Park, - Clinical Social Worker in San Bernardino, CA