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

Suzanne I. Park, LCSW

Individual provider Social Worker · NPI 1205355807

Suzanne I. Park, LCSW is a Social Worker in Honolulu, Hawaii. Practices as a sole proprietor. Licensed in Hawaii and New York.

Licensed in
HI, NY
In the registry since
2017
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.

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Practice location Address checks out

1109 12th Ave Ste 201
Honolulu, HI 96816-3714
Phone: (831) 350-0109
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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 LCSW-4755 (HI)
Social Worker Taxonomy 104100000X · Licence 101643 (NY)
Social Worker Taxonomy 104100000X · Licence LSW-2562 (HI)

Record details

NPI number1205355807
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 14, 2017
Last updated in NPPESDecember 27, 2022
Certification dateDecember 27, 2022

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