Samuel Kim, LCSW - Clinical Social Worker in Chantilly, VA

Samuel Kim, LCSW is a Social Worker - Clinical based in Chantilly, Virginia. Samuel Kim is licensed to practice in Virginia (license number 0904015963) and his current practice location is 14117 Mariah Ct, Chantilly, Virginia. He can be reached at his office (for appointments etc.) via phone at (571) 520-2013.

NPI number for Samuel Kim is 1912789553 and his current mailing address is 14117 Mariah Ct, Chantilly, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912789553.

Contact Information

Samuel Kim, LCSW
14117 Mariah Ct,
Chantilly, VA 20151-2113
(571) 520-2013
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSamuel Kim
GenderMale
SpecialitySocial Worker - Clinical
Location14117 Mariah Ct, Chantilly, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912789553
  • Provider Enumeration Date: 10/18/2023
  • Last Update Date: 05/18/2024

Medical Identifiers

Medical identifiers for Samuel Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912789553NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 0904015963 (Virginia)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. Samuel 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 AddressPractice Location Address
Samuel Kim, LCSW
14117 Mariah Ct,
Chantilly, VA 20151-2113

Ph: (571) 520-2013
Samuel Kim, LCSW
14117 Mariah Ct,
Chantilly, VA 20151-2113

Ph: (571) 520-2013

Reviews and Comments


Social Worker in Chantilly, VA

Shannon Lee, MSW,LSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4229 Lafayette Center Dr, Suite 1200, Chantilly, VA 20151
Phone: 571-274-0914    
Holly Jo-ann Burley, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 4213 Walney Rd, Chantilly, VA 20151
Phone: 703-502-7009    
Ms. Mary Chilcutt, L.C.S.W.
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 14150 Parkeast Cir Ste 200, Chantilly, VA 20151
Phone: 703-968-4037    Fax: 703-263-1724
Nicole Marshall, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 14225 Sullyfield Cir Ste A, Chantilly, VA 20151
Phone: 703-263-0215    
Kathleen Kelly, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 4211 Walney Rd, Chantilly, VA 20151
Phone: 703-227-7100    
Andrea Renee Richardson, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 14150 Parkeast Cir, Chantilly, VA 20151
Phone: 571-521-9875    
Ms. Laurene Ann Warhol, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 13784 Marsden Ct, Chantilly, VA 20151
Phone: 703-817-1262    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.