Katherine A Kim, LCSW is a
Social Worker based in San Jose, California. Katherine A Kim is licensed to practice in California (license number 114113) and her current practice location is
201 N 1st St, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(669) 287-2193.
NPI number for Katherine A Kim is 1235649021 and her current mailing address is Po Box 32592, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235649021.
Healthcare Provider's Profile
| Full Name | Katherine A Kim |
|---|
| Gender | Female |
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| Speciality | Social Worker |
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| Location | 201 N 1st St, 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: 1235649021
- Provider Enumeration Date: 10/05/2017
- Last Update Date: 07/08/2026
Medical Identifiers
Medical identifiers for Katherine A Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235649021 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 114113 (California) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
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. Katherine A 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 |
|---|
Katherine A Kim, LCSW
Po Box 32592,
San Jose, CA 95152-2592
Ph: () - | Katherine A Kim, LCSW
201 N 1st St,
San Jose, CA 95113-1003
Ph: (669) 287-2193 |
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