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

Janice E Park, LCSW

Individual provider Clinical Social Worker · NPI 1700537701

Janice E Park, LCSW is a Clinical Social Worker in Bayside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

20921 26th Ave
Bayside, NY 11360-2400
Phone: (929) 269-2464
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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 · Licence 092502 (NY)

Record details

NPI number1700537701
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 12, 2022
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026
Mailing address21271 26th Ave Unit 604530, Bayside, NY 11360-1956

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