Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAKE T KIM, LICSW
Active Sole ProprietorMR. JAKE T KIM, LICSW is a Clinical Social Worker healthcare provider located in EDMONDS, Washington. NPI 1154636603 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · EDMONDS, WA
Registration Details
- NPI Number
- 1154636603
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2010 (16.008185373043 yrs)
- Last Updated
- Jul 10, 2015
- Licenses
-
081733 (NY)LW60218364 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7320 216TH ST SWSUITE 200EDMONDS, WA, 980268006Browse WA providers · Browse ZIP 98026
- Phone
- 4256404900
- Fax
- 4256404919
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in EDMONDS, WA
| Name | Credential | NPI |
|---|---|---|
| MS. KARY MELINDA ADDISON | MSW | 1730115486 |
| MS. DEBRA J JEFFS-GRAD | R.N., M.S.W. | 1215087408 |
| MS. D. SARAH PETERSON | L.I.C.S.W. | 1093860041 |
| MICHAEL A WEIFORD | — | 1154467108 |
| WILLIAM R RHODES | — | 1174662597 |
| NOELLE MESTRES | MSW | 1649314915 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.