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

Joonjoa Park, LCSW

Individual provider Clinical Social Worker · NPI 1912501347

Joonjoa Park, LCSW is a Clinical Social Worker in Flushing, New York. Qualified in 2020, 6 years ago. Licensed in New York.

Years since qualifying
6
Licensed in
NY
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

13626 37th Ave
Flushing, NY 11354-6533
Phone: (718) 886-7373
Fax: (718) 661-6035
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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 101088 (NY)
Social Worker Taxonomy 104100000X · Licence 110291 (NY)

Record details

NPI number1912501347
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 25, 2020
Last updated in NPPESApril 19, 2026
Certification dateApril 19, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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