JONA LICENSED CLINICAL SOCIAL WORKER PC
NPI 1932910825
Social Worker - Clinical in Fullerton, CA

Q: What is Jona Licensed Clinical Social Worker PC's specialty?

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

Active since January 18, 2025

1440 N HARBOR BLVD STE 937, FULLERTON, CA 92835(714) 519-4578(714) 927-4221 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jona Licensed Clinical Social Worker Pc NPPES

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

JONA LICENSED CLINICAL SOCIAL WORKER PC (NPI 1932910825) is a healthcare organization registered as a clinical in Fullerton, California and active in the NPI registry since January 2025. The organization lists Euna Park, Licensed Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1932910825

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameJONA LICENSED CLINICAL SOCIAL WORKER PC

Location Address1440 N HARBOR BLVD STE 937Fullerton, CA 92835-4127

Mailing Address1440 N Harbor Blvd Ste 937Fullerton, CA 92835-4127 · (714) 519-4578 · Fax (714) 927-4221

Phone(714) 519-4578

Fax(714) 927-4221

Organization SubpartNo

Authorized OfficialEuna ParkLicensed Clinical Social Worker · (714) 519-4578

Enumeration DateJanuary 18, 2025

Last NPPES UpdateMarch 9, 2026

NPPES CertifiedMarch 9, 2026

✔ NPI 1932910825 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

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 ListedMarriage & Family TherapistTaxonomy 106H00000X

1440 N HARBOR BLVD STE 937, Fullerton, CA 92835

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jona Licensed Clinical Social Worker Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Jona Licensed Clinical Social Worker PC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Euna Park

Clinical Social Worker

NPI 1285281337

7212 ORANGETHORPE AVE STE 9A
Buena Park, CA 90621

(714) 503-6550

✔ PECOS✔ Accepts Medicare5.1 mi

Hyemin Lee

Marriage and Family Therapist

NPI 1164654265

8266 PIERCE DR
Buena Park, CA 90620

(714) 496-3207

✔ PECOS✔ Accepts Medicare5.5 mi

Shannon Kim

Marriage and Family Therapist

NPI 1760873236

4000 W METROPOLITAN DR STE 120
Orange, CA 92868

(714) 972-3700

✔ PECOS✔ Accepts Medicare7.5 mi

Sarah Ko, LMFT

Marriage and Family Therapist

NPI 1235678244

3727 W 6TH ST 411
Los Angeles, CA 90020

(213) 365-7400

✔ PECOS✔ Accepts Medicare25 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jona Licensed Clinical Social Worker PC's NPI number?

The NPI number for Jona Licensed Clinical Social Worker PC is 1932910825. It was assigned to this organization in the NPPES registry on January 18, 2025.

Where is Jona Licensed Clinical Social Worker PC located?

Jona Licensed Clinical Social Worker PC is located at 1440 N Harbor Blvd Ste 937, Fullerton, CA 92835. The listed phone number is (714) 519-4578.

What is Jona Licensed Clinical Social Worker PC's specialty?

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

Is Jona Licensed Clinical Social Worker PC enrolled in Medicare?

Yes. Jona Licensed Clinical Social Worker PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jona Licensed Clinical Social Worker PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Jona Licensed Clinical Social Worker PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Marriage and Family Therapist (3) and Clinical Social Worker (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jona Licensed Clinical Social Worker PC was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.