Individual provider Active NPI

Caroline Kendall Park, MSW

  • Social Worker
  • Virginia Beach, VA
National Provider Identifier
1487472189
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
4460 Corporation LN Ste 300
Virginia Beach, VA 23462-3150
Phone
(757) 376-8167
NPI assigned
Oct 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

4460 Corporation LN Ste 300
Virginia Beach, VA 23462-3150

Mailing address

8401 Mayland Dr Ste S
Richmond, VA 23294-4648
Phone (737) 237-9693

Other practice location 1

8401 Mayland Dr Ste S
Richmond, VA 23294-4648
Phone (737) 237-9693

Other names 1

  • Caroline Han Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260128002370 VA Practitioner - Clinical Social Worker 1951889310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1113 Kittery Dr
Virginia Beach, VA 23464-5610

4460 Corporation Lane
Suite 300
Virginia Beach, VA 23462

4460 Corporation LN
Suite 300
Virginia Beach, VA 23462-3150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Counseling PLLC Current Accepting new patients
Lighthouse Counseling and Psychotherapy LLC CurrentSince Nov 11, 2025 Accepting new patients
Sunshine & Glory Counseling PLLC PastSince Oct 6, 2024 Accepting new patients

Locations

4460 Corporation Ln
Ste 300
Virginia Beach, VA 23462
Phone (757) 376-8167

505 S Independence Blvd
Ste 213
Virginia Beach, VA 23452
Phone (757) 376-8167

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1487472189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MAYLAND DR STE S",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944648",
            "telephone_number": "737-237-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 CORPORATION LN STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623150",
            "telephone_number": "757-376-8167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8401 Mayland Dr Ste S",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232944648",
            "country_code": "US",
            "telephone_number": "737-237-9693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "CAROLINE",
        "middle_name": "KENDALL",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "HAN",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.