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

Mr. Donovan Park

Individual provider Clinical Social Worker · NPI 1366267569

Mr. Donovan Park is a Clinical Social Worker in Ann Arbor, Michigan. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

2755 Carpenter Rd
Ann Arbor, MI 48108-1186
Phone: (734) 600-7873
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1366267569
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 21, 2024
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024

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