# MRS. JENNIFER DIANE PARKS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1518439512
- **Gender:** F
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 099597 | NY | — |
| 1041C0700X | Clinical Social Worker | 098576 | NY | Yes |

## Other

- **Enumeration date:** 01/02/2019
- **Last updated:** 03/18/2025