Active NPI
Lauren Kim, LICSW
- Clinical Social Worker
- Jersey City, NJ
National Provider Identifier
1497434138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW229401
- Practice address
- 392 Palisade Ave Apt 4
Jersey City, NJ 07307-1665 - Phone
- (201) 572-5711
- NPI assigned
- Jul 11, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW229401 | MA | Primary |
| Clinical Social Worker | 1041C0700X | LICSW1141762 | MA |
Addresses
Primary practice location
392 Palisade Ave Apt 4
Jersey City, NJ 07307-1665
Mailing address
392 Palisade Ave Apt 4
Jersey City, NJ 07307-1665
Phone (201) 572-5711
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW229401 | MA | MD | Clinical Social Worker |
| LICSW1141762 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773532800000",
"number": "1497434138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "392 PALISADE AVE APT 4",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073071665",
"telephone_number": "201-572-5711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "392 PALISADE AVE APT 4",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073071665",
"telephone_number": "201-572-5711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "LAUREN",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-11",
"last_updated": "2026-03-15",
"certification_date": "2026-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LCSW229401",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LICSW1141762",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.