Alex J Kim, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

118856 Issued in MA

Practice address

49 Gothic St Ste 1
Northampton, MA 01060-3047

Phone

(413) 200-9914

NPI assigned

Aug 18, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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 Health Center of Franklin County Incorporated

  • Federally Qualified Health Center (FQHC)
  • Greenfield, MA
  • NPI 1457300329
  Medicare reassignment NPD
• Community Health Center of Franklin County Incorporated

  • Federally Qualified Health Center (FQHC)
  • Turners Falls, MA
  • NPI 1093566069
  NPD
• Community Health Center of Franklin County Incorporated

  • Community/Retail Pharmacy
  • Orange, MA
  • NPI 1427873520
  NPD

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

{
    "created_epoch": "1376784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1538592191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 VADNAIS ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 GOTHIC ST STE 1",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603047",
            "telephone_number": "413-200-9914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Vadnais St",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "010402034",
            "country_code": "US",
            "telephone_number": "206-669-9562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "ALEX",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-18",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "218581",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shasta A Kielbasa, M.D.
• Gail Kielson, LICSW
• Margaret Laura Kierstein, ED.D.
• David Kieval, PSY.D., BCBA
• Sarah Jane Killion, MSW, LICSW
• Tae Hyong Kim, DO
• Therese Marie Kim, LICSW
• Chloe Kimball
• Megan King
• Zachary Delaney King

• Clinical Social Worker in Northampton, MA
• Providers in Northampton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.