Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Nicholas Ryan Park

Individual provider Clinical Social Worker · NPI 1780466623

Nicholas Ryan Park is a Clinical Social Worker in Poughkeepsie, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

510 Haight Ave Ste 203
Poughkeepsie, NY 12603-7205
Phone: (518) 245-6272
Fax: (518) 721-8343
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 102896 (NY)

Record details

NPI number1780466623
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 16, 2023
Last updated in NPPESOctober 9, 2026
Certification dateOctober 9, 2026

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