Joleen Baker Kim, LCSW INTERN

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

249 E Tabernacle St Ste 100
St George, UT 84770-2951

Phone

(435) 705-7574

Fax

(435) 652-8020

NPI assigned

Dec 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southeast Virginia Psychiatry PLLCGroup PAC ID 2961944988, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Southeast Virginia Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Virginia Beach, VA
  • NPI 1245095512
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1629583117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 E TABERNACLE ST STE 100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702951",
            "telephone_number": "435-705-7574",
            "fax_number": "435-652-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 E TABERNACLE ST STE 100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702951",
            "telephone_number": "435-705-7574",
            "fax_number": "435-652-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOLEEN",
        "middle_name": "BAKER",
        "credential": "LCSW INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://crimsoncounseling.net",
            "affiliation": "N",
            "address_1": "249 E Tabernacle St Ste 100",
            "city": "St George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847702951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Anne Keyes, CSW INTERN
• Joy Nagina Khan
• Michael D Khoury, MD
• Sean Alton Kiesel, DO
• Carrie Lynn Kiholm
• Sunwook Kim, MD
• Kyle Clark Kimbal, M.D., M.S.
• Makenna Kimple
• Kind Hearts Senior Care, LLC
• Christopher John Kindred, CM

• Clinical Social Worker in St George, UT
• Providers in St George, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.