Dong Hee Kim, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

088109 Issued in NY

Practice address

6301 Mary Todd CT
Centreville, VA 20121-3546

Phone

(703) 581-8230

NPI assigned

Jul 11, 2019

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1548812498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 MARY TODD CT",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201213546",
            "telephone_number": "703-581-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 MARY TODD CT",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201213546",
            "telephone_number": "703-581-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DONG",
        "middle_name": "HEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088109",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Ahmad Khorrami, MD
• Shoshana Holstein Killian, MD
• Kim Chiropractic Clinic, P.a.
• Kim Quyen Bui OD, PC
• Dae Hyung Kim
• Hongki Kim, D.C.
• Hyojin Kim
• Ie Rae Kim
• Jennifer Carolyn Kim, M.ED. CCC-SLP
• Jinse Kim, PHD, LPC

• Clinical Social Worker in Centreville, VA
• Providers in Centreville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.