Shawna B Park, LISW-S, LCDC III is a medicare enrolled "Social Worker - Clinical" provider in Columbus, Ohio. Her current practice location is
2327 Gavinley Way, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 299-1517.
Shawna B Park is licensed to practice in Ohio (license number I.1101599) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679822084.
Healthcare Provider's Profile
| Full Name | Shawna B Park |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 2327 Gavinley Way, Columbus, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shawna B Park attended and graduated from in
NPI Data:
- NPI Number: 1679822084
- Provider Enumeration Date: 08/30/2012
- Last Update Date: 01/21/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Shawna B Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679822084 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10121 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.1101599 (Ohio) | 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. Shawna B Park is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shawna B Park, LISW-S, LCDC III
2327 Gavinley Way,
Columbus, OH 43220-7335
Ph: (216) 299-1517 | Shawna B Park, LISW-S, LCDC III
2327 Gavinley Way,
Columbus, OH 43220-7335
Ph: (216) 299-1517 |
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