Jessica Park, LCSW
Social Worker, Clinical in Suffield, Connecticut
1902422488- Practice location
- 11 High St Ste 209, Suffield, CT 06078-2125
- Phone
- 860-578-2141
- Fax
- —
- Last updated
- November 13, 2024
Jessica Park is a Social Worker, Clinical based in Suffield, CT. Jessica Park practices in Suffield, CT and has the professional credentials of LCSW. The NPI Number for Jessica Park is 1902422488 and holds a License No. 1727 (CT). The current practice location address for Jessica Park is 11 High St Ste 209, Suffield, CT 06078-2125 and can be reached out via phone at 860-578-2141.
Provider Profile Details
- NPI Number
- 1902422488
- Provider Name
- Jessica Park
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 11 High St Ste 209, Suffield, CT 06078-2125
- Phone Number
- 860-578-2141
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 22, 2020
- Last Update Date
- November 13, 2024
- Certification Date
- November 13, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 High St Ste 209
Suffield, CT 06078-2125 - City
- Suffield
- State
- Connecticut
- Zip
- 06078-2125
- Phone Number
- 860-578-2141
Provider Business Mailing Address Details
- Address
- Po Box 25
Ellington, CT 06029-0025 - City
- Ellington
- State
- CT
- Zip
- 06029-0025
- Phone Number
- 702-286-7557
License Information
- License Number (1)
- 1727
- License State (1)
- CT
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 11763
- License State (2)
- CT
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Suffield, CT
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Frequently Asked Questions
What is the NPI number of Jessica Park, LCSW?
The NPI number of Jessica Park, LCSW is 1902422488. It was assigned on June 22, 2020 and is currently active in the NPPES registry.
What is the specialty of Jessica Park, LCSW?
Jessica Park, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 1727.
Where does Jessica Park, LCSW practice?
The practice location is 11 High St Ste 209, Suffield, CT 06078-2125. The office can be reached at 860-578-2141 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902422488 directly on the NPPES registry website.