Active NPI
Joshua W Kim, B.A., M.S.W., A.S.W.
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1235539792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 100743
- Practice address
- 3525 Sawtelle Blvd Apt 206
Los Angeles, CA 90066-2954 - Phone
- (424) 388-5105
- NPI assigned
- Sep 2, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 100743 | CA | Primary |
| Mental Health Counselor | 101YM0800X | ASW71862 | CA |
Addresses
Primary practice location
3525 Sawtelle Blvd Apt 206
Los Angeles, CA 90066-2954
Mailing address
3525 Sawtelle Blvd Apt 206
Los Angeles, CA 90066-2954
Phone (424) 388-5105
Other practice location 1
1425 W Foothill Blvd # 310
Upland, CA 91786
Phone (909) 973-8664
Other practice location 2
572 N Arrowhead Ave
#200
San Bernardino, CA 92401-1251
Phone (909) 266-2700
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW71862 | CA | MD | Mental Health Counselor |
| 100743 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1235539792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3525 SAWTELLE BLVD APT 206",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900662954",
"telephone_number": "424-388-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 SAWTELLE BLVD APT 206",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900662954",
"telephone_number": "424-388-5105"
}
],
"practiceLocations": [
{
"address_1": "1425 W Foothill Blvd # 310",
"address_purpose": "LOCATION",
"city": "Upland",
"state": "CA",
"postal_code": "91786",
"country_code": "US",
"telephone_number": "909-973-8664",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "572 N Arrowhead Ave",
"address_2": "#200",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "924011251",
"country_code": "US",
"telephone_number": "909-266-2700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "JOSHUA",
"middle_name": "W",
"credential": "B.A., M.S.W., A.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-02",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "100743",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW71862",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.