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

MS. Kathy Parks, LCSW

Individual provider Clinical Social Worker · NPI 1114048824

MS. Kathy Parks, LCSW is a Clinical Social Worker in San Diego, California. Qualified in 1979, 47 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
47
Licensed in
CA
In the registry since
2007
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

10992 San Diego Mission Rd
San Diego, CA 92108-2444
Phone: (619) 641-4510
Fax: (619) 641-4417
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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 LCS 10226 (CA)

Record details

NPI number1114048824
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 2, 2007
Last updated in NPPESApril 5, 2021
Certification dateApril 5, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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