Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gina Park LLC

Organization Clinical Social Worker · NPI 1568981769

Gina Park LLC is a Clinical Social Worker in Fairfax, Virginia. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10195 Main St Ste O
Fairfax, VA 22031-3415
Phone: (703) 332-1845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1568981769
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Park — Owner · (703) 332-1845
NPI enumeratedSeptember 19, 2017
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025
Mailing address9068 Andromeda Dr, Burke, VA 22015-3510

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