Active NPI
Eunice Yunie Kim, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1043602659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 087401
- Practice address
- 117 Dobbin St
Brooklyn, NY 11222 - Phone
- (917) 810-6072
- NPI assigned
- Feb 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 093522 | NY | |
| Social Worker | 104100000X | SW132056 | PA | |
| Clinical Social Worker | 1041C0700X | 087401 | NY | Primary |
Addresses
Primary practice location
117 Dobbin St
Brooklyn, NY 11222
Mailing address
2114 Crescent St Apt A2
Astoria, NY 11105-3362
Other practice location 1
331 Leonard St
Brooklyn, NY 11211-2309
Phone (917) 810-6072
Other practice location 2
16 E 16th St
New York, NY 10003-3105
Phone (212) 206-5200
Other practice location 3
117 Dobbin St
Brooklyn, NY 11222
Phone (917) 810-6072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 093522 | NY | MD | Social Worker |
| SW132056 | PA | MD | Social Worker |
| 087401 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545868800000",
"number": "1043602659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 CRESCENT ST APT A2",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111053362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 DOBBIN ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11222",
"telephone_number": "917-810-6072"
}
],
"practiceLocations": [
{
"address_1": "331 Leonard St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112112309",
"country_code": "US",
"telephone_number": "917-810-6072",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16 E 16th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100033105",
"country_code": "US",
"telephone_number": "212-206-5200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "117 Dobbin St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "11222",
"country_code": "US",
"telephone_number": "917-810-6072",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "EUNICE",
"middle_name": "YUNIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-19",
"last_updated": "2018-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "093522",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW132056",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "087401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.