Lord J Kim, LMSW is a
Counselor - Addiction (substance Use Disorder) based in Pontiac, Michigan. Lord J Kim is licensed to practice in Michigan (license number 6801089766) and his current practice location is
35 S Johnson St Ste 3c, Pontiac, Michigan. He can be reached at his office (for appointments etc.) via phone at
(248) 333-7222.
NPI number for Lord J Kim is 1134677917 and his current mailing address is 100 River Place Dr Ste 250, Detroit, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134677917.
Healthcare Provider's Profile
| Full Name | Lord J Kim |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 35 S Johnson St Ste 3c, Pontiac, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134677917
- Provider Enumeration Date: 09/21/2016
- Last Update Date: 02/24/2020
Medical Identifiers
Medical identifiers for Lord J Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134677917 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 6801089766 (Michigan) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6801089766 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lord J Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lord J Kim, LMSW
100 River Place Dr Ste 250,
Detroit, MI 48207-5402
Ph: (313) 871-2337 | Lord J Kim, LMSW
35 S Johnson St Ste 3c,
Pontiac, MI 48341-1662
Ph: (248) 333-7222 |
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