Individual provider · Type 1 NPI

Jennie Jeongwon Kim

Clinical Social Worker · Los Angeles, CA

NPI number 1609528660 Active

Practice location

510 S Vermont Ave Fl 22
Los Angeles, CA 90020-1992

Call (213) 738-2877 Map

Mailing address

510 S Vermont Ave Fl 18
Los Angeles, CA 90020-1912

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X96148 (CA)

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 1609528660

Jennie Jeongwon Kim's National Provider Identifier is 1609528660, issued on Jan 21, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 4, 2026.