National Provider Identifier
Jennifer Diane Parks, LCSW
Jennifer Diane Parks, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 271-0660.
Profile Overview
- NPI
- 1518439512
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 02, 2019
- Last Updated
- March 18, 2025
Practice Location
- 2060 Brighton Henrietta Town Line RD
- Rochester, NY 14623-2792
Phone: (585) 271-0660
Specialties
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1518439512
- Entity Type
- Individual
- Last Name
- Parks
- First Name
- Jennifer
- Middle Name
- Diane
- Name Prefix
- Mrs.
- Credential
- LCSW
- Provider Other Last Name
- Castonguay
- Provider Other First Name
- Jennifer
- Provider Other Middle Name
- Diane
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- LMSW
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 2060 Brighton Henrietta Town Line RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-2792
- Mailing Country
- US
- Mailing Phone
- (585) 271-0660
- Practice Street Address
- 2060 Brighton Henrietta Town Line RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-2792
- Practice Country
- US
- Practice Phone
- (585) 271-0660
- Enumeration Date
- January 02, 2019
- Last Updated
- March 18, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 18, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Social Worker (104100000X)