DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JUSTIN CARL PARKS BA, SWT, CYPS

MEDICARE: JUSTIN CARL PARKS BA, SWT, CYPS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerS.2504411-TRNEOH
2175T00000XPeer Specialist

General Provider Information

NPI Number : 1205653334
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN CARL PARKS BA, SWT, CYPS
Provider Business Mailing Address
First Line : 2285 BENDEN DR
Second Line :
City : WOOSTER
State : OH
Zip : 44691-2568
Country : US
Telephone Number : 330-264-9002
Fax Number :
Provider Business Practice Location Address
First Line : 2285 BENDEN DR
Second Line :
City : WOOSTER
State : OH
Zip : 44691-2568
Country : US
Telephone Number : 330-264-9029
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2024
Last Update Date : 05/27/2026

Similar Medicare Providers

1720560782 — MISS SUMATHI V. MUDDENAHALLI M.ED., LPCC
Practice Location Address:
2285 BENDEN DR
WOOSTER, OH
44691-2568
Practice Phone: 330-264-9029
Practice Fax: 330-263-7251
1588539761 — APRIL TESTER PRS,QMHS-HS
Practice Location Address:
2285 BENDEN DR
WOOSTER, OH
44691-2568
Practice Phone: 330-264-9029
Practice Fax:
1386461820 — KELSEY HUBERTY MSW, LSW
Practice Location Address:
2285 BENDEN DR
WOOSTER, OH
44691-2568
Practice Phone: 330-264-9029
Practice Fax: 330-263-7251
1639812548 — JENNIFER GARCIA PRS, QMHS-HS
Practice Location Address:
2285 BENDEN DR
WOOSTER, OH
44691-2568
Practice Phone: 330-264-9029
Practice Fax:
1154111383 — GABRIELA CICCONETTI QMHS-BACH
Practice Location Address:
2285 BENDEN DR
WOOSTER, OH
44691-2568
Practice Phone: 330-264-9029
Practice Fax:
1083297659 — BRITTANY MARIE PHILLIPS MSW, LSW
Practice Location Address:
2285 BENDEN DR
WOOSTER, OH
44691-2568
Practice Phone: 330-264-9029
Practice Fax: 330-263-7251

Directions to “ JUSTIN CARL PARKS BA, SWT, CYPS” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.