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

Pauline Park

Individual provider Community Health Worker · NPI 1003559519

Pauline Park is a Mental Health Counselor in Somerville, Massachusetts. Qualified in 2020, 6 years ago. Practices with Riverside Community Care Inc, a 118-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
6
In the registry since
2022
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Practice location Address checks out

117 Summer St
Somerville, MA 02143-2706
Phone: (617) 354-2275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1003559519
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 14, 2022
Last updated in NPPESApril 14, 2022
Certification dateApril 14, 2022
Mailing address117 Summer St, Somerville, MA 02143-2706

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Riverside Community Care Inc — 118 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Somerville