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MR. JAKE T KIM LICSW
NPI 1154636603
Social Worker - Clinical in Edmonds, WA

Active since August 09, 2010PECOS EnrolledAccepts Medicare Assignment
7320 216TH ST SW, SUITE 200, EDMONDS, WA 98026(425) 640-4900(425) 640-4919 Get Directions Write a Review

NPPES record last updated: July 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jake T Kim Licsw NPPES

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

MR. JAKE T KIM LICSW (NPI 1154636603) is an individual clinical provider in Edmonds, Washington, licensed in Washington (LW60218364) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1154636603
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JAKE T KIMCredential: LICSW
Location Address7320 216TH ST SW, SUITE 200Edmonds, WA 98026-8006
Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043
Phone(425) 640-4900
Fax(425) 640-4919
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 9, 2010
Last NPPES UpdateJuly 10, 2015
✔ NPI 1154636603 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 WA · LW60218364✔ Licensed in NY · 081733
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.
7320 216TH ST SW, Edmonds, WA 98026
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jake T Kim Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597995845
PECOS Enrollment IDI20140305002233
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 98026 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 $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

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.

PHD2 OF SNOHOMISH COUNTY
Internal Medicine
7320 216TH ST SW, SUITE 200
EDMONDS, WA 98026
Snohomish County (425) 640-4901
ERIKA MAHER PARKER RPH, CF
Pharmacist
7320 216TH ST SW, STE 100
EDMONDS, WA 98026
Snohomish County (425) 673-3700
SHEN-LI TAN M.D.
Internal Medicine (Interventional Cardiology)
7320 216TH ST SW, STE 210
EDMONDS, WA 98026
Snohomish County (425) 744-1777
BLUE MOUNTAIN MEDICAL INC
Durable Medical Equipment & Medical Supplies
7320 216TH ST SW, SUITE 30
EDMONDS, WA 98026
Snohomish County (425) 673-3774
CAROLINE CAPONE PHARMD
Pharmacist
7320 216TH ST SW, SUITE 100
EDMONDS, WA 98026
Snohomish County (425) 673-3700
DR. BICH-KHANH T. NGUYEN M.D.
Internal Medicine
7320 216TH ST SW, SUITE 200
EDMONDS, WA 98026
Snohomish County (425) 640-4901
DR. DARCY SILVER FORAL M.D.
Orthopaedic Surgery
7320 216TH ST SW, SUITE 320
EDMONDS, WA 98026
Snohomish County (206) 673-3900
MRS. AMANDA RUSTINE CHIN R.PH.
Pharmacist
7320 216TH ST SW, STE. 100
EDMONDS, WA 98026
Snohomish County (425) 673-3700

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 Jake Kim's NPI number?

The NPI number for Jake Kim is 1154636603. It was assigned to this individual provider in the NPPES registry on August 9, 2010.

Where is Jake Kim located?

Jake Kim practices at 7320 216th St SW Suite 200, Edmonds, WA 98026. The listed phone number is (425) 640-4900.

What is Jake Kim's specialty?

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

Is Jake Kim enrolled in Medicare?

Yes. Jake Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jake Kim accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Jake Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jake Kim was last updated on July 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.