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HYUNG LAE KIM LCSW
NPI 1063190908
Social Worker - Clinical in Los Angeles, CA

Active since July 10, 2023PECOS Enrolled
4150 MARATHON ST APT 412, LOS ANGELES, CA 90029(818) 577-3518 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2026, Jul 10, 2023 (2 updates tracked since 2023).

About Hyung Lae Kim Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HYUNG LAE KIM LCSW (NPI 1063190908) is an individual clinical provider in Los Angeles, California, licensed in California (136040) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063190908
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameHYUNG LAE KIMCredential: LCSW
Location Address4150 MARATHON ST APT 412Los Angeles, CA 90029-3572
Mailing Address4150 Marathon St Apt 412Los Angeles, CA 90029-3572 · (818) 577-3518
Phone(818) 577-3518
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 10, 2023
Last NPPES UpdateJanuary 21, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1063190908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CA · 136040✔ Licensed in CA · 115583
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4150 MARATHON ST APT 412, Los Angeles, CA 90029
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Other Names 1

Other Name (5)Benoit Kim Lcsw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hyung Lae Kim Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305312521
PECOS Enrollment IDI20260415002716
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hyung Kim's NPI number?

The NPI number for Hyung Kim is 1063190908. It was assigned to this individual provider in the NPPES registry on July 10, 2023. The provider is also known as Benoit Kim Lcsw.

Where is Hyung Kim located?

Hyung Kim practices at 4150 Marathon St Apt 412, Los Angeles, CA 90029. The listed phone number is (818) 577-3518.

What is Hyung Kim's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Hyung Kim enrolled in Medicare?

Yes. Hyung Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hyung Kim was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.