Young Mi Kim, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW 26239 Issued in CA

Practice address

19819 Santa Rosa Dr
Porter Ranch, CA 91326-4164

Phone

(818) 366-5919

NPI assigned

Dec 26, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1261785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261785600000",
    "number": "1598095424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19819 SANTA ROSA DR",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264164",
            "telephone_number": "818-366-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19819 SANTA ROSA DR",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264164",
            "telephone_number": "818-366-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNG",
        "middle_name": "MI",
        "name_prefix": "Mrs.",
        "credential": "ASW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-26",
        "last_updated": "2009-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW 26239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "26239",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Anthony Khasho, DO
• Michael Khorramian, D.D.S.
• Kidneycare Dialysis Inc
• Eric Duk Ju Kim, DDS
• Wooshik Kim, PHARMD
• Joshua James Kimball, LMFT
• Mkrtich Michael Kirakossian, RPH
• Niramol Kitsawadi, PHARMACIST
• Raghu Konanur Venkataram
• Christopher Tay Krueger

• Clinical Social Worker in Porter Ranch, CA
• Providers in Porter Ranch, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2009; 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.