SUNGJU PARK
NPI 1336914639
Social Worker - Clinical in Anaheim, CA

Active since November 17, 2023PECOS Enrolled
2035 E BALL RD STE 100&200, ANAHEIM, CA 92806(714) 517-6300 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2025, Dec 12, 2023, Nov 20, 2023 and 1 more (4 updates tracked since 2023).

About Sungju Park NPPES

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

SUNGJU PARK (NPI 1336914639) is an individual clinical provider in Anaheim, California, licensed in California (LCSW127687) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336914639
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUNGJU PARK
Location Address2035 E BALL RD STE 100&200Anaheim, CA 92806-5159
Mailing Address2035 E Ball Rd Ste 100&200Anaheim, CA 92806-5159
Sole ProprietorNo
Enumeration DateNovember 17, 2023
Last NPPES UpdateFebruary 3, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
NPI 1336914639 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 CA · LCSW127687
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.
2035 E BALL RD STE 100&200, Anaheim, CA 92806

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sungju Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
2035 E BALL RD STE 100&200
ANAHEIM, CA 92806

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 Sungju Park's NPI number?

The NPI number for Sungju Park is 1336914639. It was assigned to this individual provider in the NPPES registry on November 17, 2023.

Where is Sungju Park located?

Sungju Park practices at 2035 E Ball Rd Ste 100&200, Anaheim, CA 92806. The listed phone number is (714) 517-6300.

What is Sungju Park's specialty?

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

Is Sungju Park enrolled in Medicare?

Yes. Sungju Park is registered in the Medicare PECOS enrollment system.

What insurance does Sungju Park accept?

Health plans from Providence Health Plan list Sungju 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 Sungju Park was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.