Haneul Kim, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

5400 Laurel Springs Pkwy Ste 203
Suwanee, GA 30024-6062

Phone

(678) 941-4855

NPI assigned

Aug 7, 2021

Last updated

Jan 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 2, 2023 through Oct 2, 2027

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Life Inducing Counseling LLC

  • Clinical Social Worker
  • Suwanee, GA
  • NPI 1710843735
  NPD Authorized official

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

{
    "created_epoch": "1628294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1750055281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 LAUREL SPRINGS PKWY STE 203",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246062",
            "telephone_number": "678-941-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 LAUREL SPRINGS PKWY STE 203",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246062",
            "telephone_number": "678-941-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HANEUL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-07",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Kim
• Christy Nguyen Tran Kim
• DO Young Kim, DC
• Eun Kyung Kim
• Farah Kim, DMD
• Hyun Kim
• Jee-Eun Kim, DMD
• Jenna May Kim, MD
• Jennifer Kim Jr., PMHNP
• Jinahn Kim, M.D.

• Clinical Social Worker in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.