Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNNY KIM
Deactivated Sole ProprietorJOHNNY KIM is a Clinical Social Worker healthcare provider located in VENICE, California. NPI 1568913820 is deactivated in the NPPES registry. Verify at CMS.
Clinical Social Worker · VENICE, CA
This NPI has been deactivated.
The record was deactivated on April 5, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1568913820
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 20, 2016 (3.4590163934426 yrs)
- Last Updated
- Aug 25, 2021
- Deactivated
- Apr 5, 2020
- License
-
93241 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
204 HAMPTON DRIVEVENICE, CA, 90291Browse CA providers · Browse ZIP 90291
- Phone
- 3103966468
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in VENICE, CA
| Name | Credential | NPI |
|---|---|---|
| EDGARD S ARTIGA | LCSW | 1942312970 |
| JANE L. RUBIN | PSYD; LCSW 3358 | 1285702191 |
| MS. DANISE LEHRER | L.AC, L.C.S.W. | 1790992519 |
| RACHEL DONALDSON | LCSW | 1942407218 |
| JENNIFER HINES | LCSW | 1861641466 |
| MR. ZACHARY JOHN COIL | LCSW | 1801046693 |
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.