Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA PARK, LCSW
Active Sole ProprietorJESSICA PARK, LCSW is a Clinical Social Worker healthcare provider located in SUFFIELD, Connecticut. NPI 1902422488 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · SUFFIELD, CT
Registration Details
- NPI Number
- 1902422488
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2020 (6.0023734915461 yrs)
- Last Updated
- Nov 13, 2024
- Licenses
-
1727 (CT)11763 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11 HIGH ST STE 209SUFFIELD, CT, 060782125Browse CT providers · Browse ZIP 06078
- Phone
- 8605782141
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in SUFFIELD, CT
| Name | Credential | NPI |
|---|---|---|
| AMANDA M CUEVAS | CT-LCSW | 1003010836 |
| MRS. TERRI BROWN | LCSW | 1841591575 |
| CRISTIN LYNN HOYT | LCSW | 1275970857 |
| ALEA TARDY | — | 1699223198 |
| SHANNAH ZINKIEVICH | — | 1861973885 |
| DENISE BYCZKO | LMSW | 1457186041 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.