Kim LCSW Consulting PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KIM LCSW CONSULTING PLLC

Doing business as

EJ Wellness
EJ Wellness Consulting

Practice address

26 Court St Ste 2304
Brooklyn, NY 11242-1123

Phone

(929) 218-2779

NPI assigned

Jan 5, 2022

Last updated

Aug 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janice E Park, LCSWNPI 1700537701

Title

Therapist

Phone

(929) 269-2464

Specialties & licenses 1

Addresses

Other names 2

• EJ Wellness Doing business as
• EJ Wellness Consulting 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, and the practitioner matching its NPPES authorized official.

• Janice E Park, LCSW

  • Clinical Social Worker
  • Bayside, NY
  • NPI 1700537701
  NPD Authorized official

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1962163600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21271 26TH AVE UNIT 604530",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601956",
            "telephone_number": "929-269-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COURT ST STE 2304",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112421123",
            "telephone_number": "929-218-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM LCSW CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "929-269-2464",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EJ Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EJ Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EJ Wellness Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Frank Kilpatrick, M.D.
• Gitty Kilstein
• Mindy Kilstein, MS ED
• Tzirel Kilstein
• Moddy H Kiluvia, MD
• Jenny Jaehyun Kim-Jacobson, LAC.
• Mary Kim-Toro, RPH
• Aaron Youngjae Kim, MD
• Alex S Kim, DPM
• Anna Kim

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.