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

Mr. Kenneth Park

Individual provider Clinical Social Worker · NPI 1255768974

Mr. Kenneth Park is a Clinical Social Worker in San Bernardino, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013

Practice location Address checks out

2372 Sterling Ave
San Bernardino, CA 92404-4624
Phone: (310) 421-9405
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 68555 (CA)

Record details

NPI number1255768974
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 27, 2013
Last updated in NPPESFebruary 17, 2017

Other providers in San Bernardino