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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1619103595

MS. Joann Park, LCSW is an Addiction (Substance Use Disorder) Counselor in Staten Island, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
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

65 Columbus Ave
Staten Island, NY 10304-4325
Phone: (718) 448-3210
Fax: (718) 984-2642
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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 073998-1 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 073998 (NY)

Record details

NPI number1619103595
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 4, 2009
Last updated in NPPESOctober 25, 2018

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