CHI Eon Kim, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05883800 Issued in NJ

Practice address

121 Rea Ave
Hawthorne, NJ 07506

Phone

(201) 523-4048

NPI assigned

Jan 7, 2021

Last updated

Jan 7, 2021By the provider in NPPES

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

Other names 1

• Chieon Kim Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Chamomile Counseling LLC

  • Clinical Social Worker
  • Palisades Park, NJ
  • NPI 1023760816
  NPD Authorized official

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1871181636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E HARWOOD TER UNIT A",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501424",
            "telephone_number": "551-486-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 REA AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "07506",
            "telephone_number": "201-523-4048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 E Harwood Ter Unit A",
            "address_purpose": "LOCATION",
            "city": "Palisades Park",
            "state": "NJ",
            "postal_code": "076501424",
            "country_code": "US",
            "telephone_number": "551-486-8239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHI EON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05883800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHIEON",
            "last_name": "KIM",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kusum L Kansal, RD,CDE
• Katalyst Performance and Rehabilitation LLC
• Hardeep Kaur, DPT
• Mone'T Alexia Kendall-Turner, LAC
• Bernadette Bridget Kennedy, M.A.RN
• Claudia Kim, MD
• Brendan J Kirk, DPT
• Kramer Chiropractic Center
• Kyle Jeremy Kreske, LAC
• Nicole Michelle Kuhrt, MA, CCC-SLP

• Clinical Social Worker in Hawthorne, NJ
• Providers in Hawthorne, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.