JUNYEON PAUL KIM LCSW/QMHP
NPI 1114301934
Social Worker - Clinical in Salem, OR

Q: What is Junyeon Kim's NPI number?

The NPI number for Junyeon Kim is 1114301934. It was assigned to this individual provider in the NPPES registry on July 10, 2015. The provider is also known as Paul Kim Lcsw/Qmhp.

Q: What is Junyeon Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Junyeon Kim was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 10, 2015

2355 STATE ST STE 101, SALEM, OR 97301(803) 360-7783(971) 251-1933 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 16, 2023, Dec 9, 2019, Oct 10, 2019 and 1 more (4 updates tracked since 2019).

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About Junyeon Paul Kim Lcsw/qmhp NPPES

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

JUNYEON PAUL KIM LCSW/QMHP (NPI 1114301934) is an individual clinical provider in Salem, Oregon, licensed in Oregon (L11257) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1114301934

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJUNYEON PAUL KIMCredential: LCSW/QMHP

Location Address2355 STATE ST STE 101Salem, OR 97301-4541

Mailing Address3439 Ne Sandy Blvd # 646Portland, OR 97232-1959 · (803) 360-7783 · Fax (971) 251-1933

Phone(803) 360-7783

Fax(971) 251-1933

Sole ProprietorNo

Enumeration DateJuly 10, 2015

Last NPPES UpdateFebruary 16, 20234 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2023

✔ NPI 1114301934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OR · L11257

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial WorkerTaxonomy 104100000X · License A5807 (OR)

2355 STATE ST STE 101, Salem, OR 97301

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Other Names 1

Other Name (5)Paul Kim Lcsw/qmhp

Other Identifiers 1

Medicaid500734777OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TARA BARRETT

Counselor (Mental Health)