Individual provider · Type 1 NPI

Jin Ah Renee Kim, LCSW

Clinical Social Worker · Beaverton, OR

NPI number 1619098316 Active

Practice location

12655 SW Center St, Suite # 470
Beaverton, OR 97005-1600

Call (971) 808-8226 Map

Mailing address

PO Box 19737
Portland, OR 97280

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

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 1619098316

Jin Ah Renee Kim, LCSW's National Provider Identifier is 1619098316, issued on Apr 2, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Beaverton, OR. The record was last updated on Sep 7, 2016.