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

Wanchoe Park, LCSW

Individual provider Clinical Social Worker · NPI 1619093028

Wanchoe Park, LCSW is a Clinical Social Worker in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

520 S La Fayette Park Pl
Los Angeles, CA 90057-1607
Phone: (213) 252-2100
Fax: (213) 383-3146
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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 LCS28421 (CA)

Record details

NPI number1619093028
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 21, 2007
Last updated in NPPESMay 7, 2012

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