Active NPI
Joyce Kim, LCSW
- Clinical Social Worker
- San Jose, CA
National Provider Identifier
1639212301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW27390
- Practice address
- 5855 Silver Creek Valley Place
San Jose, CA 95138 - Phone
- (650) 493-5000
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW27390 | CA | Primary |
Addresses
Primary practice location
5855 Silver Creek Valley Place
San Jose, CA 95138
Mailing address
5855 Silver Creek Valley Place
San Jose, CA 95138
Phone (650) 493-5000
Other practice location 1
3801 Miranda Ave
Palo Alto, CA 94304-1207
Phone (650) 493-5000
Other names 1
- Hye Jin Kim
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW27390 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1639212301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5855 SILVER CREEK VALLEY PLACE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95138",
"telephone_number": "650-493-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5855 SILVER CREEK VALLEY PLACE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95138",
"telephone_number": "650-493-5000"
}
],
"practiceLocations": [
{
"address_1": "3801 Miranda Ave",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943041207",
"country_code": "US",
"telephone_number": "650-493-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "JOYCE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW27390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HYE JIN",
"last_name": "KIM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.