Individual provider · Type 1 NPI
Janice E. Park, LCSW
Clinical Social Worker · Bayside, NY
Practice location
20921 26th Ave
Bayside, NY 11360-2400
Mailing address
21271 26th Ave Unit 604530
Bayside, NY 11360-1956
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 092502 (NY) |
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 1700537701
Janice E. Park, LCSW's National Provider Identifier is 1700537701, issued on Jan 12, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bayside, NY. The record was last updated on Aug 4, 2026.