Philip Jeesup Kim, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149029425 Issued in IL

Practice address

155 N Michigan Ave Ste 380
Chicago, IL 60601-7710

Phone

(708) 628-7645

NPI assigned

Jun 2, 2025

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1922991660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 450",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017939",
            "telephone_number": "708-505-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 380",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017710",
            "telephone_number": "708-628-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "PHILIP",
        "middle_name": "JEESUP",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-02",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149029425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nickolas Ji Kim, DDS
• Paul Joong Kim, M.D.
• Peichen Jessie Kim, P.T., A.T.P.-S.M.S.
• Peter J Kim
• Peter Jooncheol Kim
• Pu Woong Kim, MD SC
• Rachel Kim
• Rebekah Grace Kim, PHARMD
• Risa Kim
• Ronald Kim, M.D.

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.