Individual provider Active NPI

Olivia Yu Yim, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1184749780
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS25245 Issued in CA
Practice address
605 W Olympic Blvd Ste 550
Los Angeles, CA 90015-1474
Phone
(213) 553-1850
Fax
(213) 553-1864
NPI assigned
Mar 20, 2007
Last updated
Feb 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS25245 CA Primary

Addresses

Primary practice location

605 W Olympic Blvd Ste 550
Los Angeles, CA 90015-1474

Mailing address

605 W Olympic Blvd
#550
Los Angeles, CA 90015-1400
Phone (213) 553-1850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090402000229 CA Practitioner - Clinical Social Worker 0840347159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians

Practice addresses (Care Compare)

729 Filbert St
San Francisco, CA 94133-2760
Phone (415) 352-3000

760 Harrison St
San Francisco, CA 94107-1235
Phone (415) 836-1700

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
61.12
Promoting interoperability
99
Improvement activities
40
Cost
83.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS25245CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco CurrentSince Nov 2, 2013 Accepting new patients
City and County of San Francisco CurrentSince Nov 2, 2013 Accepting new patients
City & County of San Francisco Current Accepting new patients
Special Service for Groups, Inc. Past Accepting new patients

Locations

729 Filbert St
San Francisco, CA 94133
Phone (415) 255-3602

760 Harrison St
San Francisco, CA 94107
Phone (415) 836-1700

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234483200000",
    "number": "1184749780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W OLYMPIC BLVD",
            "address_2": "#550",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151400",
            "telephone_number": "213-553-1850",
            "fax_number": "213-553-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W OLYMPIC BLVD STE 550",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151474",
            "telephone_number": "213-553-1850",
            "fax_number": "213-553-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIM",
        "first_name": "OLIVIA",
        "middle_name": "YU",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2009-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS25245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.