GINA PARK
NPI 1477934743
Social Worker - Clinical in Fairfax, VA

Active since June 12, 2015
10195 MAIN ST STE O, FAIRFAX, VA 22031(703) 332-1845 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 29, 2025, Nov 17, 2021, Jan 18, 2021 and 2 more (5 updates tracked since 2017).

About Gina Park NPPES

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

GINA PARK (NPI 1477934743) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0904008989) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1477934743
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGINA PARK
Location Address10195 MAIN ST STE OFairfax, VA 22031-3415
Mailing Address9068 Andromeda DrBurke, VA 22015-3510
Sole ProprietorYes
Enumeration DateJune 12, 2015
Last NPPES UpdateMay 29, 20255 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
NPI 1477934743 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 VA · 0904008989
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.

10195 MAIN ST STE O, Fairfax, VA 22031

Other Providers at the Same Location NPPES 7

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
10195 MAIN ST STE O
FAIRFAX, VA 22031
Counselor (Professional)
10195 MAIN ST STE O
FAIRFAX, VA 22031
Counselor (Mental Health)
10195 MAIN ST STE O
FAIRFAX, VA 22031
Counselor (Professional)
10195 MAIN ST STE O
FAIRFAX, VA 22031
Counselor (Mental Health)
10195 MAIN ST STE O
FAIRFAX, VA 22031
Social Worker (Clinical)
10195 MAIN ST STE O
FAIRFAX, VA 22031
Counselor (Mental Health)
10195 MAIN ST STE O
FAIRFAX, VA 22031

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 Gina Park's NPI number?

The NPI number for Gina Park is 1477934743. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Where is Gina Park located?

Gina Park practices at 10195 Main St Ste O, Fairfax, VA 22031. The listed phone number is (703) 332-1845.

What is Gina 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 Gina Park was last updated on May 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.