Jaehee Kim, LLMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801100652 Issued in MI

Practice address

G3169 Beecher Rd Ste 203
Flint, MI 48532-3645

Phone

(810) 237-0799

Fax

(517) 676-5460

NPI assigned

Jul 5, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Consumer Services, Inc.

  • Clinical Social Worker
  • Mason, MI
  • NPI 1700066339
  NPD (past)

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499212800000",
    "number": "1972024503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 289",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540289",
            "telephone_number": "517-676-5405",
            "fax_number": "517-676-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3169 BEECHER RD STE 203",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323645",
            "telephone_number": "810-237-0799",
            "fax_number": "517-676-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JAEHEE",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2017-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801100652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austyn Baylee Killebrew
• Ronald Joseph Killian
• Catheline Kim, LLMSW
• Haesook S Kim, MD
• Jae Chul Kim, MD
• Minjung Minny Kim, DO
• Kimberly Ann Alabi-Isama
• Joel P Kimelman, DO
• Jennifer Kimmel, LLMSW
• Shania Kimmons

• Social Worker in Flint, MI
• Providers in Flint, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; 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.