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

Jina Park, LCSW LLC

Organization Clinical Social Worker · NPI 1003665282

Jina Park, LCSW LLC is a Clinical Social Worker in Tenafly, New Jersey. Registered with an NPI since 2024.

In the registry since
2024
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

24 W Railroad Ave Unit 136
Tenafly, NJ 07670-1752
Phone: (562) 708-6558
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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 number1003665282
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jina Park — Owner · (562) 708-6558
Other names Rise Psychotherapy
NPI enumeratedMay 18, 2024
Last updated in NPPESMay 18, 2024
Certification dateMay 18, 2024
Mailing address24 W Railroad Ave Unit 136, Tenafly, NJ 07670-1752

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