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KELLEY KIM
NPI 1104102250
Social Worker in Buena Park, CA

Active since November 02, 2011PECOS Enrolled
7212 ORANGETHORPE AVE STE 9, BUENA PARK, CA 90621(714) 449-1125 Get Directions Write a Review

NPPES record last updated: November 2, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelley Kim NPPES

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

KELLEY KIM (NPI 1104102250) is an individual social worker in Buena Park, California and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104102250
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKELLEY KIM
Location Address7212 ORANGETHORPE AVE STE 9Buena Park, CA 90621-4668
Mailing Address21935 Via Del LagoTrabuco Canyon, CA 92679-3438
Phone(714) 449-1125
Sole ProprietorNo
Enumeration DateNovember 2, 2011
✔ NPI 1104102250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
7212 ORANGETHORPE AVE STE 9, Buena Park, CA 90621
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

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 Kelley Kim's NPI number?

The NPI number for Kelley Kim is 1104102250. It was assigned to this individual provider in the NPPES registry on November 2, 2011.

Where is Kelley Kim located?

Kelley Kim practices at 7212 Orangethorpe Ave Ste 9, Buena Park, CA 90621. The listed phone number is (714) 449-1125.

What is Kelley Kim's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kelley Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelley Kim was last updated on November 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.