Ji Eun Midlam, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23030 Issued in CA

Practice address

5694 Mission Center Rd Ste 602-497
San Diego, CA 92108-4355

Phone

(619) 543-1613

NPI assigned

Mar 19, 2011

Sex

Female

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

Enrolled in CA

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 1

Specialty

Clinical Social Worker

Education

University of Southern California Keck School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Help Administrative Services Inc

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  • NPI 1629875273
  Medicare reassignment NPD
• Sud Specialty Group - Ca

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1300492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1861791634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 HAZARD CENTER DR STE E107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084550",
            "telephone_number": "323-236-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5694 MISSION CENTER RD STE 602-497",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084355",
            "telephone_number": "619-543-1613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7133 E Cornell Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937370048",
            "country_code": "US",
            "telephone_number": "559-375-1149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2747 N Redda Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937379619",
            "country_code": "US",
            "telephone_number": "559-375-1413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8306 Wilshire Blvd # 617",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902112382",
            "country_code": "US",
            "telephone_number": "323-236-4685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIDLAM",
        "first_name": "JI EUN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-19",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "23030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Malcom Middleton, M.D.
• Michael L Middleton, CRNA
• Michael S Middleton, M.D.
• Payton Midgette
• Cara Anne Iliff Midgley, MFT
• Jaclyn Marie Midland, RD
• Naomi R Midura, LMFT
• Midway Chiropractic
• Midway Optometry
• Samantha Midwood

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.