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

Diane M Park, LCSW

Individual provider Clinical Social Worker · NPI 1588392070

Diane M Park, LCSW is a Clinical Social Worker in Old Tappan, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

180 Old Tappan Rd Ste 9
Old Tappan, NJ 07675-7048
Phone: (929) 376-8868
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SL06829700 (NJ)

Record details

NPI number1588392070
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 11, 2022
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 6, 2025

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