OrganizationActive
Gina Park LLC
NPI 1568981769 · Clinical Social Worker · Fairfax, VA
Gina Park LLC is a Clinical Social Worker organization in Fairfax, VA (NPI 1568981769).
Provider details
- NPI number
- 1568981769
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Gina Park, Owner(703) 332-1845
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10195 Main St Ste O
Fairfax, VA 22031-3415
Phone: (703) 332-1845
Street-level locationGet directions
Mailing address
9068 Andromeda Dr
Burke, VA 22015-3510
Registry dates
- Enumerated
- 2017-09-19
- Last updated
- 2025-05-29
- Certified
- 2025-05-29
Frequently asked questions
- What is Gina Park LLC's NPI number?
- Gina Park LLC's National Provider Identifier (NPI) is 1568981769, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gina Park LLC?
- Gina Park LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Gina Park LLC located?
- Gina Park LLC's practice location on file with NPPES is 10195 Main St Ste O, Fairfax, VA 22031-3415.
- What is Gina Park LLC's phone number?
- The practice phone number listed in the NPPES registry for Gina Park LLC is (703) 332-1845.
- Who is the authorized official for Gina Park LLC?
- The authorized official listed on Gina Park LLC's NPPES record is Gina Park, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gina Park LLC's NPI active?
- Yes — Gina Park LLC's NPI (1568981769) is active in the NPPES registry as of the last update on 2025-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.