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

Individual provider Social Worker · NPI 1740339076

Ji-Hae Park, LSW is a Clinical Social Worker in Falls Church, Virginia. Qualified in 2004, 22 years ago. Practices with Director of Finance-County of Fairfax VA, a 176-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
22
Licensed in
VA
In the registry since
2007
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

6245 Leesburg Pike 4th Fl - Outreach
Falls Church, VA 22044-2106
Phone: (703) 531-6283
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 0903001428 (VA)

Record details

NPI number1740339076
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorYes
NPI enumeratedJanuary 9, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Director Of Finance-County Of Fairfax Va — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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