Active NPI
Richard L. Park, PH.D., LCSW
- Clinical Social Worker
- El Paso, TX
National Provider Identifier
1871517292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S12213
- Practice address
- 1921 E Yandell Dr
El Paso, TX 79903-3416 - Phone
- (915) 544-3400
- Fax
- (915) 544-3401
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S12213 | TX | Primary |
Addresses
Primary practice location
1921 E Yandell Dr
El Paso, TX 79903-3416
Mailing address
1921 E Yandell Dr
El Paso, TX 79903-3416
Phone (915) 544-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102766601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S12213 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R.P. Park Enterprises | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789257600000",
"number": "1871517292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 E YANDELL DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799033416",
"telephone_number": "915-544-3400",
"fax_number": "915-544-3401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 E YANDELL DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799033416",
"telephone_number": "915-544-3400",
"fax_number": "915-544-3401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "RICHARD",
"middle_name": "L.",
"credential": "PH.D., LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "S12213",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102766601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.