Ji-Hae Park, LSW
NPI 1740339076ActiveIndividual· Social Worker· Falls Church, VA
Social Worker (LSW) with Director of Finance-County of Fairfax VA, practicing in Falls Church, Virginia. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1740339076 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LSW |
| Sole proprietor | Yes |
| NPI issued | Jan 9, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 0903001428 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (DC) |
|---|
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Director of Finance-County of Fairfax VAFairfax, VA · 174 clinicians
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