National Provider Identifier
Katharine Park, LCSW
Katharine Park, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Pittsford, NY and a listed phone number of (585) 209-3529.
Profile Overview
- NPI
- 1134860562
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- April 07, 2022
- Last Updated
- September 03, 2025
Practice Location
- 1160G Pittsford Victor RD Ste 1C
- Pittsford, NY 14534-3818
Phone: (585) 209-3529
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1134860562
- Entity Type
- Individual
- Last Name
- Park
- First Name
- Katharine
- Credential
- LCSW
- Provider Other Last Name
- Park
- Provider Other First Name
- Katie
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 1160G Pittsford Victor RD Ste 1C
- Mailing City
- Pittsford
- Mailing State
- NY
- Mailing ZIP Code
- 14534-3818
- Mailing Country
- US
- Mailing Phone
- (585) 209-3529
- Practice Street Address
- 1160G Pittsford Victor RD Ste 1C
- Practice City
- Pittsford
- Practice State
- NY
- Practice ZIP Code
- 14534-3818
- Practice Country
- US
- Practice Phone
- (585) 209-3529
- Enumeration Date
- April 07, 2022
- Last Updated
- September 03, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 03, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)