Active NPI
Jona Licensed Clinical Social Worker PC
- Clinical Social Worker
- Fullerton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- JONA LICENSED CLINICAL SOCIAL WORKER PC
- Practice address
- 1440 N Harbor Blvd Ste 937
Fullerton, CA 92835-4127 - Phone
- (714) 519-4578
- Fax
- (714) 927-4221
- NPI assigned
- Jan 18, 2025
- Last updated
- Mar 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Euna Park
- Title
- Licensed Clinical Social Worker
- Phone
- (714) 519-4578
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary | |
| Marriage & Family Therapist | 106H00000X | NU |
Addresses
Primary practice location
1440 N Harbor Blvd Ste 937
Fullerton, CA 92835-4127
Mailing address
1440 N Harbor Blvd Ste 937
Fullerton, CA 92835-4127
Phone (714) 519-4578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
700 E Birch St
Unit 32
Brea, CA 92822
1440 N Harbor Blvd
Ste 937
Fullerton, CA 92835
Phone (714) 519-4578
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Los Angeles, CA
- NPI 1235678244
-
- Marriage & Family Therapist
- Orange, CA
- NPI 1760873236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773014400000",
"number": "1932910825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 N HARBOR BLVD STE 937",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928354127",
"telephone_number": "714-519-4578",
"fax_number": "714-927-4221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 N HARBOR BLVD STE 937",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928354127",
"telephone_number": "714-519-4578",
"fax_number": "714-927-4221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONA LICENSED CLINICAL SOCIAL WORKER PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-18",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "EUNA",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "714-519-4578"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.