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

Lori A Park, MS, LCSW

Individual provider Clinical Social Worker · NPI 1053561431

Lori A Park, MS, LCSW is a Clinical Social Worker in Globe, Arizona. Qualified in 2004, 22 years ago. Practices with Community Bridges Inc, a 107-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
22
Licensed in
AZ
In the registry since
2008
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

415 W Baseline Spur Rd
Globe, AZ 85501
Phone: (928) 402-9297
Fax: (928) 402-9414
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 LCSW-12565 (AZ)

Record details

NPI number1053561431
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LCSW
Sole proprietorNo
NPI enumeratedSeptember 23, 2008
Last updated in NPPESSeptember 23, 2008

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Community Bridges Inc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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