Se Yun Kim, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Chicago, Illinois. He went to University Of Chicago, Pritzker School Of Medicine and graduated in 2022 and has 4 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice County Of Lake and his current practice location is
1 E Erie St Ste 525, #413, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(773) 241-7464.
Se Yun Kim is licensed to practice in Illinois (license number 149.027266) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205553021.
Healthcare Provider's Profile
| Full Name | Se Yun Kim |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 4 Years |
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| Location | 1 E Erie St Ste 525, Chicago, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Se Yun Kim attended and graduated from University Of Chicago, Pritzker School Of Medicine in 2022
NPI Data:
- NPI Number: 1205553021
- Provider Enumeration Date: 10/24/2022
- Last Update Date: 03/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 1850757840
- Enrollment ID: I20230517002002
Medical Identifiers
Medical identifiers for Se Yun Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205553021 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 150.108804 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149.027266 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| County Of Lake | 7214838861 | 42 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Se Yun Kim allows following entities to bill medicare on his behalf.
| Entity Name | County of Lake |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013920750
PECOS PAC ID: 7214838861
Enrollment ID: O20040116000192 |
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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. Se Yun Kim is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Se Yun Kim, LCSW
1 E Erie St Ste 525, #413,
Chicago, IL 60611
Ph: Not Available | Se Yun Kim, LCSW
1 E Erie St Ste 525, #413,
Chicago, IL 60611
Ph: (773) 241-7464 |
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