Active NPI
Columba Y Kim, MSW, L.C.S.W.
- Clinical Social Worker
- San Francisco, CA
National Provider Identifier
1780799379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS11978
- Practice address
- 1537 Franklin St.
Suite 306
San Francisco, CA 94109-4581 - Phone
- (415) 567-1678
- Fax
- (415) 386-4350
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | LCS11978 | CA | Primary |
Addresses
Primary practice location
1537 Franklin St.
Suite 306
San Francisco, CA 94109-4581
Mailing address
763 17TH Ave.
San Francisco, CA 94121-3820
Phone (415) 567-1678
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80512 | Other | CA | SAN MATEO PROVIDER PIN |
| CSW119780 | Other | CA | MEDICAL |
| 06J8317 | Other | CA | CHAMPUS |
| 217238 | Other | MHN | |
| 63666 | Other | UNITED BEHAVIORAL HEALTH | |
| 7132079 | Other | SAN FRANCISCO MENTAL HEAL | |
| 764178 | Other | CA | ALAMEDA PROVIDER ID |
| U204 | Other | CA | CITY HEALTH PLAN |
| 217238 | Other | HEALTH NET | |
| 2301432 | Medicaid | CA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS11978 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1780799379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "763 17TH AVE.",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941213820",
"telephone_number": "415-567-1678",
"fax_number": "415-386-4350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1537 FRANKLIN ST.",
"address_2": "SUITE 306",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941094581",
"telephone_number": "415-567-1678",
"fax_number": "415-386-4350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "COLUMBA",
"middle_name": "Y",
"credential": "MSW, L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS11978",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAN MATEO PROVIDER PIN",
"identifier": "80512",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "CSW119780",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "06J8317",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "217238",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "63666",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAN FRANCISCO MENTAL HEAL",
"identifier": "7132079",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALAMEDA PROVIDER ID",
"identifier": "764178",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITY HEALTH PLAN",
"identifier": "U204",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "217238",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2301432",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.