Individual provider · Type 1 NPI

Suzanne I. Park, LCSW

Clinical Social Worker · Honolulu, HI

NPI number 1205355807 Active

Practice location

1109 12th Ave Ste 201
Honolulu, HI 96816-3714

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X101643 (NY)
Social Worker 104100000XLSW-2562 (HI)
Clinical Social Worker Primary 1041C0700XLCSW-4755 (HI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1205355807

Suzanne I. Park, LCSW's National Provider Identifier is 1205355807, issued on Sep 14, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Honolulu, HI. The record was last updated on Dec 27, 2022.