Individual provider · Type 1 NPI

Jake T. Kim, LICSW

Clinical Social Worker · Edmonds, WA

NPI number 1154636603 Active

Practice location

7320 216th St SW, Suite 200
Edmonds, WA 98026-8006

Call (425) 640-4900 Map

Fax (425) 640-4919

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X081733 (NY)
Clinical Social Worker Primary 1041C0700XLW60218364 (WA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1154636603

Jake T. Kim, LICSW's National Provider Identifier is 1154636603, issued on Aug 9, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Edmonds, WA. The record was last updated on Jul 10, 2015.