SOO MIN PARK (NPI# 1376669812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376669812 |
Entity Type | Individual |
Full Name | SOO MIN PARK |
Credential | LCSW |
Practice Address |
1310 Wilshire Blvd Los Angeles CA 90017-1705 |
Practice Telephone | 2134833000 |
Practice Fax Number | 2134836529 |
Mailing Telephone | 2134833000 |
Mailing Fax Number | 2134836529 |
Enumeration Date | 2007-03-22 |
Last Update Date | 2015-01-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS65000 | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821351198 | Soo Park | Internal Medicine | Moores Ucsd Cancer Ctr, 3855 Health Sciences Drive, Mc-0829, La Jolla, CA 92093-0829 | 2012-06-20 |
1609819226 | Soo H. Park | Internal Medicine | 5330 E Stop 11 Rd, Indianapolis, IN 46237-6345 | 2006-06-13 |
1124084728 | Soo Tae Park | Dentist | 44841 N 10th St W, Lancaster, CA 93534 | 2006-04-22 |
Street Address |
1310 WILSHIRE BLVD |
City | LOS ANGELES |
State | CA |
Zip Code | 90017-1705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245355932 | Elvira Quintos | Registered Nurse | 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 | 2007-03-20 |
1699374751 | Hyung Jun Won | Community Health Worker | 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 | 2020-10-20 |
1164029351 | Cynthia Melissa Rodriguez | Case Manager/Care Coordinator | 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 | 2020-10-01 |
1902412869 | Manasanunt Esariyakuntham | Community Health Worker | 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 | 2020-09-16 |
1144833328 | Jessica Hyun Jin Weisbach | Student in an Organized Health Care Education/Training Program | 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 | 2020-08-26 |
1972116440 | Heidi Kim | Student in an Organized Health Care Education/Training Program | 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 | 2020-08-25 |
1114541612 | Kieu-maggie Ly | Student in an Organized Health Care Education/Training Program | 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 | 2020-06-01 |
1346874096 | Yea Jin Shin | Case Manager/Care Coordinator | 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 | 2020-03-02 |
1730608472 | Jocelyn Chow | Marriage & Family Therapist | 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 | 2017-09-13 |
1649718545 | Dennis Yuan | Case Manager/Care Coordinator | 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 | 2017-02-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
Find all providers in zip 90017 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841899549 | Callie Lind Klebanoff | Social Worker | 3162 Glenmanor Pl, Los Angeles, CA 90039-1713 | 2020-10-22 |
1215534060 | Arianna Armstrong | Social Worker | 1417 Wildwood Dr, Los Angeles, CA 90041-3130 | 2020-10-05 |
1518572932 | Jamila Leander | Social Worker | 1055 Wilshire Blvd Ste 1955, Los Angeles, CA 90017-5602 | 2020-09-11 |
1700491529 | Danesha Jamerson | Social Worker | 4184 3rd Ave, Los Angeles, CA 90008-4043 | 2020-09-09 |
1427663384 | Samantha Erin Stepleton | Social Worker | 3201 S Barrington Ave Apt E, Los Angeles, CA 90066-1139 | 2020-09-08 |
1821601345 | Kei Nguyen | Social Worker | 3035 Ingledale Ter, Los Angeles, CA 90039-1719 | 2020-08-25 |
1659984292 | Bina Zargari | Social Worker | 1129 S Holt Ave, Los Angeles, CA 90035-2405 | 2020-08-24 |
1275144685 | Jessica Lindsay Sotelo | Social Worker | 1530 N Poinsettia Pl Apt 241, Los Angeles, CA 90046-7915 | 2020-08-11 |
1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
1811513187 | Rafael C. Angulo | Social Worker | 315 S Virgil Ave Apt 103, Los Angeles, CA 90020-1300 | 2020-06-22 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90017 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.