Katharine Park, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

098975 Issued in NY

Practice address

1160G Pittsford Victor Rd Ste 1C
Pittsford, NY 14534-3818

Phone

(585) 209-3529

NPI assigned

Apr 7, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Katie Park Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1134860562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160G PITTSFORD VICTOR RD STE 1C",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343818",
            "telephone_number": "585-209-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160G PITTSFORD VICTOR RD STE 1C",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343818",
            "telephone_number": "585-209-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "KATHARINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "PARK",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Pain Management Acupuncture
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• Philip Palumbo
• Panzarella Physical Therapy P.C.
• Joanne Panzarella, PT
• Teresa Marie Parker, R.N.
• Shubham Vilas Parkhe
• Parkview Pediatrics, PLLC
• April T Parnell
• Mark R Parsons, OD

• Clinical Social Worker in Pittsford, NY
• Providers in Pittsford, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.