Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Park, LCSW

Individual provider Clinical Social Worker · NPI 1639502982

Daniel Park, LCSW is a Clinical Social Worker in Pocatello, Idaho. Qualified in 2013, 13 years ago. Practices with Health West Inc, a 66-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
13
Licensed in
ID
In the registry since
2013
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1001 N 7th Ave
Pocatello, ID 83201-5761
Phone: (208) 425-2489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-37176 (ID)
Social Worker Taxonomy 104100000X · Licence LMSW-33074 (ID)

Record details

NPI number1639502982
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 9, 2013
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024
Mailing address500 S 11th Ave Ste 400, Pocatello, ID 83201-4880

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Health West Inc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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