Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912925702 Individual Practitioner Female Practitioner

Eunsong Park , LMSW

Counselor • Buffalo, NY

Professional Overview & Biography Verified Profile Summary

Eunsong Park, LMSW is a registered healthcare professional specializing in Counselor in Buffalo, NY. Practice services are available at 359 GRIDER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

359 Grider St

Buffalo, NY 142153016

Telephone 7168957715
Fax 7168931692

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Buffalo, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.7 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
726 Specialists

Practicing in Buffalo, NY (4032 Statewide)

Telehealth Adoption Rate
0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License NY 066624

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Univera
00030241501 (NY)
Commercial Insurance / Payer ID Community Blue
000506354004 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
NPI 1033131693

Bachelor of Arts

NPI 1174547889

Licensed Clinical Social Worker - Registered

David Augustyniak , LMHC-P

Counselor - Mental Health

NPI 1194360156

LMHCP

Quasie Clarke , MHC

Counselor - Mental Health

NPI 1215656293
NPI 1225211790

Licensed Master Social Worker

NPI 1225712003

Master of Social Work

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 359 GRIDER ST, BUFFALO, NY 142153016 (Tel: 7168957715)

📍
Updated Business Mailing Address July 08, 2007

Registered at 525 WASHINGTON ST, MANAGED CARE DEPARTMENT, BUFFALO, NY 142031711 (Tel: 7168564494)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EUNSONG PARK, LMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #066624 in NY)

🟢
Initial NPI Registration & Enumeration July 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912925702
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

525 Washington St, Managed Care Department

Buffalo, NY 142031711

Phone: 7168564494

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.