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Mr. Kenneth Park

Clinical Social Worker in San Bernardino, CA · enumerated 2013.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255768974

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Registry record

Entity type Individual (Type 1)
Name Mr. Kenneth Park
Sex Male
Practice address 2372 Sterling Ave, San Bernardino, CA, 92404
Phone (310) 421-9405
Enumeration date Sep 27, 2013
Last updated in NPPES Feb 17, 2017

Taxonomy & licenses

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 68555 (CA) Primary

Other identifiers

Identifier Type State Issuer
ASW #68555 Other CA BOARD OF BEHAVIORAL SCIENCES

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Kenneth Park?
Kenneth Park is registered in NPPES with the primary taxonomy of Clinical Social Worker. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-02-17.