Bokyung Kim LCSW, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BOKYUNG KIM LCSW, PLLC

Doing business as

Rooted with Bokyung LCSW, PLLC

Practice address

14415 41St Ave
Flushing, NY 11355-1445

Phone

(929) 279-2773

NPI assigned

Jul 26, 2023

Organization subpart

No

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

Authorized official

Name

Bokyung Kim, LCSWNPI 1598418659

Title

Psychotherapist

Phone

(929) 279-2773

Specialties & licenses 1

Addresses

Other names 1

• Rooted with Bokyung LCSW, PLLC Doing business as

Locations

Practitioners 1

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

• Bokyung Kim, LMSW

  • Social Worker
  • Syracuse, NY
  • NPI 1598418659
  NPD Authorized official

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1912688672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14415 41ST AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551445",
            "telephone_number": "929-279-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14415 41ST AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551445",
            "telephone_number": "929-279-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOKYUNG KIM LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "BOKYUNG",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "929-279-2773",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rooted with Bokyung LCSW, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Flushing, NY
• Providers in Flushing, NY by specialty
• Adult Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.