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JIN HYUN PARK LCSW
NPI 1003568809
Social Worker - Clinical in Jamaica, NY

Active since January 23, 2022
9009 VAN WYCK EXPY, JAMAICA, NY 11435(718) 206-5575 Get Directions Write a Review

NPPES record last updated: January 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jin Hyun Park Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIN HYUN PARK LCSW (NPI 1003568809) is an individual clinical provider in Jamaica, New York, licensed in New York (090009) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1003568809
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJIN HYUN PARKCredential: LCSW
Location Address9009 VAN WYCK EXPYJamaica, NY 11435-4200
Mailing Address5160 Van Kleeck St Apt 5hElmhurst, NY 11373-4259
Phone(718) 206-5575
Sole ProprietorNo
Enumeration DateJanuary 23, 2022
NPPES CertifiedJanuary 23, 2022
✔ NPI 1003568809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 090009
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
9009 VAN WYCK EXPY, Jamaica, NY 11435
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA GOLDFEDER PSYD
Psychologist (Clinical)
9009 VAN WYCK EXPY
JAMAICA, NY 11435
Queens County (718) 206-6000
SHAHRIAR ASHRAF
Counselor (Mental Health)
9009 VAN WYCK EXPY
JAMAICA, NY 11435
Queens County (718) 206-5595

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jin Park's NPI number?

The NPI number for Jin Park is 1003568809. It was assigned to this individual provider in the NPPES registry on January 23, 2022.

Where is Jin Park located?

Jin Park practices at 9009 Van Wyck Expy, Jamaica, NY 11435. The listed phone number is (718) 206-5575.

What is Jin Park's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jin Park was last updated on January 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.