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MS. CAROLYN GRACE KIM LCSW
NPI 1083833453
Social Worker - Clinical in Madera, CA

Active since April 24, 2007Opted out of Medicare · through Dec 18, 2027
36141 AVENUE 12, #109, MADERA, CA 93638(559) 645-8802 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Carolyn Grace Kim Lcsw NPPES

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

MS. CAROLYN GRACE KIM LCSW (NPI 1083833453) is an individual clinical provider in Madera, California, licensed in California (18080) and active in the NPI registry since April 2007. She has opted out of Medicare through December 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1083833453
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. CAROLYN GRACE KIMCredential: LCSW
Location Address36141 AVENUE 12, #109Madera, CA 93638-8712
Mailing Address36141 Avenue 12, #109Madera, CA 93638-8712 · (559) 645-8802
Phone(559) 645-8802
Sole ProprietorYes
Enumeration DateApril 24, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083833453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 18080
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.
36141 AVENUE 12, Madera, CA 93638
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Carolyn Grace Kim Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 18, 2019 through December 18, 2027.

Opt-Out Effective DateDecember 18, 2019
Opt-Out In Effect ThroughDecember 18, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93638 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 $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 Carolyn Kim's NPI number?

The NPI number for Carolyn Kim is 1083833453. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Carolyn Kim located?

Carolyn Kim practices at 36141 Avenue 12 #109, Madera, CA 93638. The listed phone number is (559) 645-8802.

What is Carolyn Kim's specialty?

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

Is Carolyn Kim enrolled in Medicare?

No. Carolyn Kim has opted out of Medicare through December 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Carolyn Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.