Individual provider Active NPI

Sarom Kim, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1598382087
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
125840 Issued in CA
Practice address
8737 Venice Blvd Ste 201
Los Angeles, CA 90034-3258
Phone
(310) 429-1986
NPI assigned
Jun 30, 2020
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 109593 NY
Clinical Social Worker 1041C0700X 125840 CA Primary

Addresses

Primary practice location

8737 Venice Blvd Ste 201
Los Angeles, CA 90034-3258

Mailing address

8737 Venice Blvd Ste 201
Los Angeles, CA 90034-3258
Phone (978) 846-2248

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skim@ellenhorn.com Ellenhorn LLC

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

LicenseStateTypeSpecialty
109593NYMDSocial Worker
125840CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ellenhorn LLC CurrentSince Apr 20, 2025 Accepting new patients

Locations

8737 Venice Blvd
Ste 201
Los Angeles, CA 90034
Phone (310) 454-7901

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1598382087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8737 VENICE BLVD STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343258",
            "telephone_number": "978-846-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 VENICE BLVD STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343258",
            "telephone_number": "310-429-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SAROM",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "109593",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "125840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skim@ellenhorn.com",
            "affiliation": "Y",
            "affiliationName": "Ellenhorn LLC",
            "address_1": "8737 Venice Blvd Ste 201",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900343258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.