Lisa Lynn Park, L.M.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

074430-1 Issued in NY

Practice address

1938 Route 6
Carmel, NY 10512-2311

Phone

(845) 225-5650

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hudson Valley Health Specialties, Inc

  • Clinic/Center
  • Kingston, NY
  • NPI 1184703308
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1326269358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 DEANS BRIDGE RD",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105892616",
            "telephone_number": "845-617-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 ROUTE 6",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122311",
            "telephone_number": "845-225-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "LISA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "L.M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "074430-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jyothi Parapurath, M.D.
• Sara Philip Parayil
• Daniel J Parchen, PA
• Zill Parikh, MD
• Jean Young Park, M.D.
• Tiffany Parkinson
• George Parlitsis, DDS
• Maxine I Pascal, PA-C
• Christopher G Pasquale, LCSWR
• Joanne Rose Pasquerello, PHD

• Social Worker in Carmel, NY
• Providers in Carmel, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.