NPIMap

Organization Active NPI

Katrina Kim LCSW PLLC

  • Clinical Social Worker
  • Carpentersville, IL
National Provider Identifier
1679354880
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KATRINA KIM LCSW PLLC
Practice address
260 S Washington St
Carpentersville, IL 60110-2627
Phone
(224) 228-2683
NPI assigned
Oct 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Katrina KimNPI 1679903652
Title
Clinical Therapist
Phone
(224) 228-2683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

260 S Washington St
Carpentersville, IL 60110-2627

Mailing address

260 S Washington St
Carpentersville, IL 60110-2627
Phone (224) 228-2683

National Provider Directory

National Provider Directory

Locations

260 S Washington St
Carpentersville, IL 60110
Phone (224) 228-2683

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1679354880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S WASHINGTON ST",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "601102627",
            "telephone_number": "224-228-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S WASHINGTON ST",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "601102627",
            "telephone_number": "224-228-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATRINA KIM LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "224-228-2683"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carpentersville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.