JOONJOA PARK LCSW
NPI 1912501347
Social Worker - Clinical in Flushing, NY

Q: What is Joonjoa Park's NPI number?

The NPI number for Joonjoa Park is 1912501347. It was assigned to this individual provider in the NPPES registry on November 25, 2020.

Q: What is Joonjoa Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Joonjoa Park was last updated on April 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 25, 2020PECOS Enrolled

13626 37TH AVE, FLUSHING, NY 11354(718) 886-7373(718) 661-6035 Get Directions Write a Review

NPPES record last updated: April 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 19, 2026, Dec 3, 2020, Nov 25, 2020 (3 updates tracked since 2020).

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About Joonjoa Park Lcsw NPPES

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

JOONJOA PARK LCSW (NPI 1912501347) is an individual clinical provider in Flushing, New York, licensed in New York (101088) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1912501347

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJOONJOA PARKCredential: LCSW

Location Address13626 37TH AVEFlushing, NY 11354-6533

Mailing Address125 Walker St Fl 2New York, NY 10013-4135 · (212) 226-8866 · Fax (212) 226-2289

Phone(718) 886-7373

Fax(718) 661-6035

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 25, 2020

Last NPPES UpdateApril 19, 20263 updates tracked since enumeration

NPPES CertifiedApril 19, 2026

✔ NPI 1912501347 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 NY · 101088

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 ListedSocial WorkerTaxonomy 104100000X · License 110291 (NY)

13626 37TH AVE, Flushing, NY 11354

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID9931697430

PECOS Enrollment IDI20251024001899

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 11354 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 $67.00 – $201.98

Typical copayment $0.00 (range $16.75 – $50.49)

Most-billed visit code NA

Established Patient

$82.96 typical visit price

range $21.62 – $163.52

Typical copayment $20.74 (range $5.40 – $40.88)

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 20

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

YIWEI LIU

Registered Nurse