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MR. JASON KI PARK MSW
NPI 1639674963
Social Worker - Clinical in Puyallup, WA

Active since March 28, 2018PECOS EnrolledAccepts Medicare Assignment
104 W MEEKER STE B, PUYALLUP, WA 98371(206) 992-2304 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2022, Mar 28, 2018 (2 updates tracked since 2018).

About Mr. Jason Ki Park Msw NPPES

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

MR. JASON KI PARK MSW (NPI 1639674963) is an individual clinical provider in Puyallup, Washington, licensed in Washington (SWI.LW.61453387) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1639674963
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JASON KI PARKCredential: MSW
Location Address104 W MEEKER STE BPuyallup, WA 98371-8901
Mailing Address104 W Meeker Ste BPuyallup, WA 98371-8901 · (206) 992-2304
Phone(206) 992-2304
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 28, 2018
Last NPPES UpdateJuly 2, 20262 updates tracked since enumeration
NPPES CertifiedJuly 2, 2026
✔ NPI 1639674963 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 WA · SWI.LW.61453387
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.
104 W MEEKER STE B, Puyallup, WA 98371
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jason Ki Park Msw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395276588
PECOS Enrollment IDI20240928000135
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 98371 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 $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 2

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

PACIFIC ROOTS THERAPY, PLLC
Counselor (Mental Health)
104 W MEEKER STE B
PUYALLUP, WA 98371
Pierce County (541) 953-8249
BETHANY ALICE MARIE SUTTON LMFT
Marriage & Family Therapist
104 W MEEKER STE B
PUYALLUP, WA 98371
Pierce County (541) 953-8249

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 Jason Park's NPI number?

The NPI number for Jason Park is 1639674963. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Jason Park located?

Jason Park practices at 104 W Meeker Ste B, Puyallup, WA 98371. The listed phone number is (206) 992-2304.

What is Jason Park's specialty?

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

Is Jason Park enrolled in Medicare?

Yes. Jason Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jason Park accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jason 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 Jason Park was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.