Individual provider Active NPI

Esther Hyuna Kim, LCSW-C

  • Clinical Social Worker
  • Rockville, MD
National Provider Identifier
1235887050
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16351 Issued in MD
Practice address
12345 Parklawn Dr Ste 200
Rockville, MD 20852-1725
Phone
(202) 487-3813
NPI assigned
Mar 10, 2022
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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 16351 MD Primary

Addresses

Primary practice location

12345 Parklawn Dr Ste 200
Rockville, MD 20852-1725

Mailing address

12345 Parklawn Dr Ste 200
Rockville, MD 20852-1725
Phone (202) 487-3813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230109002190 MD Practitioner - Clinical Social Worker 3678940293 Reassigns benefits to 1 organization
I20230403001497 DC Practitioner - Clinical Social Worker 3678940293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3227 Stone Barn Dr
Frederick, MD 21704-6737
Phone (202) 487-3813

9711 Washington Blvd
Suite 550
Gaithersburg, MD 20878-5789
Phone (202) 487-3813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16351MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mindspace Clinical Counseling LLC CurrentSince Jul 27, 2022 Accepting new patients

Locations

9711 Washingtonian Blvd
Ste 550
Gaithersburg, MD 20878
Phone (240) 255-9804

12345 Parklawn Dr
Ste 200
Rockville, MD 20852
Phone (240) 242-7385

Organizations & group practices 1

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": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1235887050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12345 PARKLAWN DR STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521725",
            "telephone_number": "202-487-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12345 PARKLAWN DR STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521725",
            "telephone_number": "202-487-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ESTHER",
        "middle_name": "HYUNA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.