JINA PARK LCSW
NPI 1942776133
Social Worker - Clinical in Jersey City, NJ

Active since October 16, 2018
121 NEWARK AVE STE 410, JERSEY CITY, NJ 07302(201) 677-2232 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2023, Oct 16, 2018 (2 updates tracked since 2018).

About Jina Park Lcsw NPPES

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

JINA PARK LCSW (NPI 1942776133) is an individual clinical provider in Jersey City, New Jersey, licensed in New Jersey (44SC06280800) and active in the NPI registry since October 2018. She maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1942776133
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJINA PARKCredential: LCSW
Location Address121 NEWARK AVE STE 410Jersey City, NJ 07302-5873
Mailing Address79 Monroe AveCresskill, NJ 07626-1438 · (562) 708-6558
Sole ProprietorYes
Enumeration DateOctober 16, 2018
Last NPPES UpdateNovember 6, 20232 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
NPI 1942776133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in NJ · 44SC06280800 Licensed in NY · 098215-1
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.
121 NEWARK AVE STE 410, Jersey City, NJ 07302

Secondary Practice Location 1

Location 1247 Prospect Ave Ste 4Brooklyn, NY 11215-8403 · Phone (646) 685-4499

Other Providers at the Same Location NPPES 3

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

Counselor (Professional)
121 NEWARK AVE STE 410
JERSEY CITY, NJ 07302
Social Worker (Clinical)
121 NEWARK AVE STE 410
JERSEY CITY, NJ 07302
Social Worker (Clinical)
121 NEWARK AVE STE 410
JERSEY CITY, NJ 07302

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 Jina Park's NPI number?

The NPI number for Jina Park is 1942776133. It was assigned to this individual provider in the NPPES registry on October 16, 2018.

Where is Jina Park located?

Jina Park practices at 121 Newark Ave Ste 410, Jersey City, NJ 07302. The listed phone number is (201) 677-2232.

What is Jina 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 Jina Park was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.