Provider Demographics
NPI:1942638275
Name:PAIK, JASON (LCSW)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:PAIK
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7860 183A TOLL RD
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-1570
Mailing Address - Country:US
Mailing Address - Phone:512-885-8966
Mailing Address - Fax:
Practice Address - Street 1:1 CHISHOLM TRAIL RD STE 225
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5106
Practice Address - Country:US
Practice Address - Phone:978-998-3683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-23
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1059401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical