Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JIWON KANG
NPI 1154800902
Social Worker - Clinical in Elmhurst, NY

Active since August 13, 2018
4010 77TH STREET, 1D, 1D, ELMHURST, NY 11373(646) 239-6072 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2026, Aug 24, 2020, Aug 13, 2018 (3 updates tracked since 2018).

About Jiwon Kang NPPES

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

JIWON KANG (NPI 1154800902) is an individual clinical provider in Elmhurst, New York, licensed in New York (104331) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1154800902
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJIWON KANG
Location Address4010 77TH STREET, 1D, 1DElmhurst, NY 11373
Mailing Address4010 77th StElmhurst, NY 11373-1155 · (646) 239-6072
Sole ProprietorNo
Enumeration DateAugust 13, 2018
Last NPPES UpdateOctober 9, 20263 updates tracked since enumeration
NPPES CertifiedAugust 24, 2020
✔ NPI 1154800902 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 NY · 104331
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.
4010 77TH STREET, 1D, Elmhurst, NY 11373

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 Jiwon Kang's NPI number?

The NPI number for Jiwon Kang is 1154800902. It was assigned to this individual provider in the NPPES registry on August 13, 2018.

Where is Jiwon Kang located?

Jiwon Kang practices at 4010 77th Street, 1D 1D, Elmhurst, NY 11373. The listed phone number is (646) 239-6072.

What is Jiwon Kang's specialty?

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

When was this NPI record last updated?

The NPPES record for Jiwon Kang was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.