Jane Kim, LCSW is a
Social Worker - Clinical based in Carson, California. Jane Kim is licensed to practice in California (license number 75259) and her current practice location is
23248 Colony Park Dr, Carson, California. She can be reached at her office (for appointments etc.) via phone at
(310) 422-5979.
NPI number for Jane Kim is 1376878462 and her current mailing address is 23248 Colony Park Dr, Carson, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376878462.
Healthcare Provider's Profile
Full Name | Jane Kim |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 23248 Colony Park Dr, Carson, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376878462
- Provider Enumeration Date: 10/07/2009
- Last Update Date: 11/26/2024
Medical Identifiers
Medical identifiers for Jane Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376878462 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW34424 (California) | Secondary |
104100000X | Social Worker | ASW34424 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 75259 (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. Jane 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 |
Jane Kim, LCSW 23248 Colony Park Dr, Carson, CA 90745-5574 Ph: (310) 422-5979 | Jane Kim, LCSW 23248 Colony Park Dr, Carson, CA 90745-5574 Ph: (310) 422-5979 |
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