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SUE JONG PARK
NPI 1194073155
Social Worker - Clinical in Los Angeles, CA

Active since August 23, 2012
300 UCLA MEDICAL PLZ STE 1100, LOS ANGELES, CA 90095(310) 825-9989 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 2, 2021, Aug 31, 2016, Aug 23, 2016 (3 updates tracked since 2016).

About Sue Jong Park NPPES

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

SUE JONG PARK (NPI 1194073155) is an individual clinical provider in Los Angeles, California, licensed in California (LCSW63282) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1194073155
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUE JONG PARK
Location Address300 UCLA MEDICAL PLZ STE 1100Los Angeles, CA 90095-5105
Mailing Address5767 W Century Blvd Suite 400Los Angeles, CA 90095-5631 · (310) 301-8707 · Fax (310) 301-8751
Phone(310) 825-9989
Sole ProprietorNo
Enumeration DateAugust 23, 2012
Last NPPES UpdateAugust 2, 20213 updates tracked since enumeration
NPPES CertifiedAugust 2, 2021
✔ NPI 1194073155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW63282
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
300 UCLA MEDICAL PLZ STE 1100, Los Angeles, CA 90095
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 12

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

VERONICA R BARENSTEIN PHD
Psychologist (Clinical)
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9989
KRISTA BASILE TABUENCA
Psychologist (Clinical)
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9989
IESHA ROSE DUNCAN
Social Worker (Clinical)
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9989
DR. LINDSEY MARIE MATT PHD
Psychologist
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Los Angeles County (108) 259-9893
MICHELLE PEREIRA
Social Worker (Clinical)
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9989
DR. LAUREN BURR OZBOLT MD
Psychiatry & Neurology (Psychiatry)
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9989
DR. MITCHELL DEAN ARNOVITZ MD
Psychiatry & Neurology (Psychiatry)
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9989
JAN LINDSEY JACKSON LMSW
Social Worker
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9989

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 Sue Jong Park's NPI number?

The NPI number for Sue Jong Park is 1194073155. It was assigned to this individual provider in the NPPES registry on August 23, 2012.

Where is Sue Jong Park located?

Sue Jong Park practices at 300 Ucla Medical Plz Ste 1100, Los Angeles, CA 90095. The listed phone number is (310) 825-9989.

What is Sue Jong Park's specialty?

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

What insurance does Sue Jong Park accept?

Health plans from Providence Health Plan list Sue Jong Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sue Jong Park was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.