Active NPI
Eunice Hope Kim, LCSW
- Clinical Social Worker
- Brea, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 74472
- Practice address
- 3350 E Birch St Ste 206
Brea, CA 92821-6267 - Phone
- (562) 431-8822
- NPI assigned
- Sep 17, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 74472 | CA | Primary |
Addresses
Primary practice location
3350 E Birch St Ste 206
Brea, CA 92821-6267
Mailing address
3350 E Birch St Ste 206
Brea, CA 92821-6267
Other practice location 1
401 E. Imperial Hwy
Fullerton, CA 92835-1145
Phone (714) 447-7000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3350 E Birch St
Suite 206
Brea, CA 92821-6267
Phone (562) 431-8822
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Coast Psychiatric Associates Inc | Current | Accepting new patients | |
| KCS, Inc. | Past | Accepting new patients | |
| Orange County Asian & Pacific Islander Community Alliance | Past | Accepting new patients |
Locations
3350 E Birch St
Ste 206
Brea, CA 92821
Phone (562) 725-4966
4040 Barranca Pkwy
Ste 260
Irvine, CA 92604
490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Buena Park, CA
- NPI 1104484344
-
- Community/Behavioral Health Agency
- Garden Grove, CA
- NPI 1730323585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1265740724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 E BIRCH ST STE 206",
"city": "BREA",
"state": "CA",
"postal_code": "928216267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 E BIRCH ST STE 206",
"city": "BREA",
"state": "CA",
"postal_code": "928216267",
"telephone_number": "562-431-8822"
}
],
"practiceLocations": [
{
"address_1": "401 E. Imperial Hwy",
"address_purpose": "LOCATION",
"city": "Fullerton",
"state": "CA",
"postal_code": "928351145",
"country_code": "US",
"telephone_number": "714-447-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "EUNICE",
"middle_name": "HOPE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-17",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "74472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.