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

Jessica Park, LCSW

Individual provider Clinical Social Worker · NPI 1902422488

Jessica Park, LCSW is a Clinical Social Worker in Suffield, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2020
Specialties on file
2
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

11 High St Ste 209
Suffield, CT 06078-2125
Phone: (860) 578-2141
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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 11763 (CT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 1727 (CT)

Record details

NPI number1902422488
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 22, 2020
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

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