National Provider Identifier

Eunsong Park, LMSW

Eunsong Park, LMSW is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 895-7715.

NPI 1912925702Buffalo, NYCounselor

Source: public NPPES record, last updated July 08, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1912925702
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
July 18, 2006
Last Updated
July 08, 2007

Practice Location

  • 359 Grider St
  • Buffalo, NY 14215-3016

Phone: (716) 895-7715

Mailing Address

  • 525 Washington St
  • Managed Care Department
  • Buffalo, NY 14203-1711

Specialties

  • Counselor (101Y00000X)

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Biography

Eunsong Park, LMSW, is a licensed master social worker based in Buffalo, New York. Public sources do not show a verified health-system profile, faculty role, or other substantive professional background details.

Full Record
NPI
1912925702
Entity Type
Individual
Last Name
Park
First Name
Eunsong
Credential
LMSW
Mailing Street Address
525 Washington St
Mailing Address Line 2
Managed Care Department
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14203-1711
Mailing Country
US
Mailing Phone
(716) 856-4494
Mailing Fax
(716) 842-1277
Practice Street Address
359 Grider St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3016
Practice Country
US
Practice Phone
(716) 895-7715
Practice Fax
(716) 893-1692
Enumeration Date
July 18, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
Taxonomies
Counselor (101Y00000X)
Other Identifiers
00030241501 (NY, Univera), 000506354004 (NY, Community Blue)