GINA PARK (NPI# 1477934743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477934743 |
| Entity Type | Individual |
| Full Name | GINA PARK |
| Practice Address |
6120 Brandon Ave Ste 315 Springfield VA 22150-2504 |
| Mailing Address |
9068 Andromeda Dr Burke VA 22015-3510 |
| Practice Telephone | 7033321845 |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2020-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904008989 | VA | Behavioral Health & Social Service Providers |
| Street Address |
6120 BRANDON AVE STE 315 |
| City | SPRINGFIELD |
| State | VA |
| Zip Code | 22150-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225062870 | Maria T Stewart | Marriage & Family Therapist | 6120 Brandon Ave Ste 315, Springfield, VA 22150-2504 | 2006-07-10 |
| 1093226854 | Lauren Koontz | Social Worker | 6120 Brandon Ave Ste 315, Springfield, VA 22150-2504 | 2017-10-19 |
| 1568981769 | Gina Park LLC | Social Worker | 6120 Brandon Ave Ste 315, Springfield, VA 22150-2504 | 2017-09-19 |
| 1437572492 | Healing Together, Pllc | Marriage & Family Therapist | 6120 Brandon Ave Ste 315, Springfield, VA 22150-2504 | 2014-01-28 |
| 1871802314 | Sarunporn (jay) Sirikietsoong | Clinical Neuropsychologist | 6120 Brandon Ave Ste 315, Springfield, VA 22150-2504 | 2010-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083086946 | Karla Maria Bonilla Chico | Dentist | Privada Monte Everest 1982-14, Residencial La Cuspide, Tijuana, BAJA CALIFORNIA 22150 | 2015-10-30 |
| 1093108219 | Ezra Healthcare, Inc | Home Health | 6803 Backlick Road, Suit 'b', Springfield, VA 22150 | 2015-03-12 |
| 1144611567 | Grace Home Care, LLC | Home Health | 5827 Columbia Pike Suite 211, Springfield, VA 22150 | 2015-02-06 |
| 1174938245 | Rocio Robles | Speech-Language Pathologist | 7001 A Loisdale Road, Springfield, VA 22150 | 2014-06-26 |
| 1538598149 | Johns Hopkins Pharmaquip, Inc. | Durable Medical Equipment & Medical Supplies | 7411 Alban Station Court, Suite A100, Springfield, VA 22150 | 2013-11-04 |
| 1861785958 | Sienna Vorono Winer | Pediatrics | 6501 Loisdale Ct., Springfield, VA 22150 | 2011-05-23 |
| 1023342870 | M & T Universal Health Services, LLC | Home Health | 6315 Backlick Rd Ste 308, Springfield, VA 22150 | 2009-09-28 |
| 1316127533 | Yong Hyun Kim | Dentist | 6525-c Frontier Dr., Springfield, VA 22150 | 2007-11-05 |
| 1437234655 | Metropolitan Radiology Assoc Chtd | Radiology | 6128 Brandon Avenue, Suite 205, Springfield, VA 22150 | 2006-10-26 |
| 1033217179 | Allison Nayer | Occupational Therapist | The Chesapeake Center, Inc., 6506 Loisdale Rd., Suite 300, Springfield, VA 22150 | 2006-09-20 |
| Find all providers in zip 22150 | ||||
| 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 |
|---|---|---|---|---|
| 1629676929 | Katrina Louise Routh | Social Worker | 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 | 2020-10-09 |
| 1194337022 | Loretta E. Buckwalter | Social Worker | 4401 Ridgewood Rd W, Springfield, OH 45503-6131 | 2020-08-21 |
| 1710596572 | Nichol Speciale | Social Worker | 3700 Kerry Blvd, Springfield, IL 62712-5858 | 2020-07-28 |
| 1124636162 | Sarah Ann Duffy | Social Worker | 6823 Floyd Ave, Springfield, VA 22150-2455 | 2020-07-15 |
| 1033736707 | Bernetta A Andrewin | Social Worker | 4481 Ash Grove Dr Ste A-d, Springfield, IL 62711-6358 | 2020-06-29 |
| 1013530856 | Christina Margaret White | Social Worker | 224 Springcreek Dr, Springfield, IL 62702-3469 | 2020-05-27 |
| 1295357192 | Luminary Counseling and Solutions, LLC | Social Worker | 319 E Madison St Ste 2c, Springfield, IL 62701-3120 | 2020-05-13 |
| 1861014326 | Marvin Merriweather Jr. | Social Worker | 510 E Apple Orchard Rd Ste 103, Springfield, IL 62703-4081 | 2020-05-07 |
| 1477182061 | Sean Edward Snyder | Social Worker | 578 Sheffield Dr, Springfield, PA 19064-2822 | 2020-04-06 |
| 1801429246 | David Aichroth Jr. | Social Worker | David Aichroth, 11 Dundar Rd Suite 105, Springfield, NJ 07081-2210 | 2020-02-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 22150 |
Please comment or provide details below to improve the information on GINA PARK.
| 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.