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JINA PARK, LCSW LLC
NPI 1003665282
Social Worker - Clinical in Tenafly, NJ

Active since May 18, 2024
24 W RAILROAD AVE UNIT 136, TENAFLY, NJ 07670(562) 708-6558 Get Directions Write a Review

NPPES record last updated: May 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jina Park, Lcsw Llc NPPES

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

JINA PARK, LCSW LLC (NPI 1003665282), doing business as Rise Psychotherapy, is a healthcare organization registered as a clinical in Tenafly, New Jersey and active in the NPI registry since May 2024. The organization lists Jina Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1003665282
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameJINA PARK, LCSW LLC
Location Address24 W RAILROAD AVE UNIT 136Tenafly, NJ 07670-1752
Mailing Address24 W Railroad Ave Unit 136Tenafly, NJ 07670-1752 · (562) 708-6558
Phone(562) 708-6558
Organization SubpartNo
Authorized OfficialJina ParkOwner · (562) 708-6558
Enumeration DateMay 18, 2024
NPPES CertifiedMay 18, 2024
✔ NPI 1003665282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
24 W RAILROAD AVE UNIT 136, Tenafly, NJ 07670
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Other Names 1

Doing Business AsRise Psychotherapy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jina Park, Lcsw LLC's NPI number?

The NPI number for Jina Park, Lcsw LLC is 1003665282. It was assigned to this organization in the NPPES registry on May 18, 2024. The provider is doing business as Rise Psychotherapy.

Where is Jina Park, Lcsw LLC located?

Jina Park, Lcsw LLC is located at 24 W Railroad Ave Unit 136, Tenafly, NJ 07670. The listed phone number is (562) 708-6558.

What is Jina Park, Lcsw LLC'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 Jina Park, Lcsw LLC was last updated on May 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.