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

Stacy Park

Individual provider Clinical Social Worker · NPI 1992961197

Stacy Park is a Clinical Social Worker in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008

Practice location Address checks out

1730 W Olympic Blvd Fl 3A-100
Los Angeles, CA 90015-1019
Phone: (213) 553-1884
Fax: (213) 236-9662
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCS23522 (CA)

Record details

NPI number1992961197
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 6, 2008
Last updated in NPPESJune 10, 2014

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