Grace Jee-young Kim, ASW, PPSC is a
Social Worker - Clinical based in San Jose, California. Grace Jee-young Kim is licensed to practice in California (license number 96707) and her current practice location is
2400 Moorpark Avenue, Suite 300, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(408) 975-2730.
NPI number for Grace Jee-young Kim is 1265828834 and her current mailing address is 2400 Moorpark Ave, Ste 300, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265828834.
Healthcare Provider's Profile
| Full Name | Grace Jee-young Kim |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2400 Moorpark Avenue, San Jose, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265828834
- Provider Enumeration Date: 04/10/2015
- Last Update Date: 06/20/2023
Medical Identifiers
Medical identifiers for Grace Jee-young Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265828834 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 96707 (California) | 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. Grace Jee-young 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 |
|---|
Grace Jee-young Kim, ASW, PPSC
2400 Moorpark Ave, Ste 300,
San Jose, CA 95128-2680
Ph: (408) 975-2730 | Grace Jee-young Kim, ASW, PPSC
2400 Moorpark Avenue, Suite 300,
San Jose, CA 95128
Ph: (408) 975-2730 |
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