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STACY PARK
NPI 1992961197
Social Worker - Clinical in Los Angeles, CA

Active since August 06, 2008
1730 W OLYMPIC BLVD FL 3A-100, LOS ANGELES, CA 90015(213) 553-1884(213) 236-9662 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacy Park NPPES

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

STACY PARK (NPI 1992961197) is an individual clinical provider in Los Angeles, California, licensed in California (LCS23522) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1992961197
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACY PARK
Location Address1730 W OLYMPIC BLVD FL 3A-100Los Angeles, CA 90015-1019
Mailing Address1730 W Olympic Blvd Fl 3a-100Los Angeles, CA 90015-1019 · (213) 236-9394 · Fax (213) 236-9662
Phone(213) 553-1884
Fax(213) 236-9662
Sole ProprietorYes
Enumeration DateAugust 6, 2008
Last NPPES UpdateJune 10, 2014
✔ NPI 1992961197 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 CA · LCS23522
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.
1730 W OLYMPIC BLVD FL 3A-100, Los Angeles, CA 90015
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Other Providers at the Same Location NPPES 12

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

HEEYOUNG IRIS LEE
Marriage & Family Therapist
1730 W OLYMPIC BLVD FL 3A-100
LOS ANGELES, CA 90015
Los Angeles County (213) 553-1884
SAKI FUJITA
Rehabilitation Practitioner
1730 W OLYMPIC BLVD FL 3A-100
LOS ANGELES, CA 90015
Los Angeles County (213) 553-1884
VALERIA ARGOMANIZ
Rehabilitation Practitioner
1730 W OLYMPIC BLVD FL 3A-100
LOS ANGELES, CA 90015
Los Angeles County (213) 553-1884
TEDMAN CHEUNG M.A.
Social Worker (Clinical)
1730 W OLYMPIC BLVD FL 3A-100
LOS ANGELES, CA 90015
Los Angeles County (213) 553-1884
JIE DENG
Social Worker (Clinical)
1730 W OLYMPIC BLVD FL 3A-100
LOS ANGELES, CA 90015
Los Angeles County (213) 553-1884
JANINE EVANS
Counselor (Mental Health)
1730 W OLYMPIC BLVD FL 3A-100
LOS ANGELES, CA 90015
Los Angeles County (213) 553-1884
TEE-VUTHY SOKHOMALA
Counselor (Mental Health)
1730 W OLYMPIC BLVD FL 3A-100
LOS ANGELES, CA 90015
Los Angeles County (213) 553-1884
JONATHAN ENRIQUEZ
Rehabilitation Practitioner
1730 W OLYMPIC BLVD FL 3A-100
LOS ANGELES, CA 90015
Los Angeles County (213) 553-1884

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 Stacy Park's NPI number?

The NPI number for Stacy Park is 1992961197. It was assigned to this individual provider in the NPPES registry on August 6, 2008.

Where is Stacy Park located?

Stacy Park practices at 1730 W Olympic Blvd Fl 3a-100, Los Angeles, CA 90015. The listed phone number is (213) 553-1884.

What is Stacy 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 Stacy Park was last updated on June 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.