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

Jinah Kim Pak, LCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1780006221

Jinah Kim Pak, LCSW is a Clinical Social Worker in Cerritos, California. Qualified in 2013, 13 years ago. Practices with Special Service for Groups Inc, a 61-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2014
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11050 Artesia Blvd Ste F
Cerritos, CA 90703-2542
Phone: (562) 860-8838
Fax: (213) 383-3146
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 81188 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 36711 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence ASW36711 (CA)

Record details

NPI number1780006221
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 17, 2014
Last updated in NPPESDecember 12, 2019
Certification dateDecember 12, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Special Service For Groups Inc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Cerritos