Azra A Kim, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

70823 Issued in CA

Practice address

43313 Woodward Ave # 1001
Bloomfield Hills, MI 48302-5007

Phone

(650) 603-0849

NPI assigned

Apr 14, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1134515331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43313 WOODWARD AVE # 1001",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025007",
            "telephone_number": "650-603-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43313 WOODWARD AVE # 1001",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025007",
            "telephone_number": "650-603-0849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 El Camino Real Ste 120",
            "address_2": "#1417",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940254884",
            "country_code": "US",
            "telephone_number": "650-603-0849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "AZRA",
        "middle_name": "A",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094393",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "70823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna Michel Khouri, M.D
• Majd Khytaz, AGAC-NP
• Ellen Jean Kiefer, OTR
• Kimberly Marie Kilian, PA-C
• Ghassan Killu, PHARMD
• Kingswood Internal Medicine
• Kingswood Urgent Medical Center PC
• Kirsch and Blau DDS
• Richard Kirsch, DDS
• Rishi Kishore, PT

• Clinical Social Worker in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.