Individual provider · Type 1 NPI

Jina Kim, LCSW

Clinical Social Worker · Centreville, VA

NPI number 1902705643 Active

Practice location

5823 Rockdale Ct
Centreville, VA 20121-3034

Mailing address

14120A Route 29
Centreville, VA 20120-1913

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904021105 (VA)

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 1902705643

Jina Kim, LCSW's National Provider Identifier is 1902705643, issued on Oct 31, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Centreville, VA. The record was last updated on Oct 31, 2026.