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VICTORIA KIM LCSW
NPI 1174824536
Social Worker - Clinical in Los Angeles, CA

Active since November 16, 2010PECOS Enrolled
12021 WILMINGTON AVE BLDG 18, LOS ANGELES, CA 90059(213) 605-3330 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2025, Jul 7, 2023, Jun 17, 2021 (3 updates tracked since 2021).

About Victoria Kim Lcsw NPPES

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

VICTORIA KIM LCSW (NPI 1174824536) is an individual clinical provider in Los Angeles, California, licensed in California (27230) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174824536
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameVICTORIA KIMCredential: LCSW
Location Address12021 WILMINGTON AVE BLDG 18Los Angeles, CA 90059-3019
Mailing Address921 E Compton BlvdCompton, CA 90221-3303 · (213) 605-3330
Phone(213) 605-3330
Sole ProprietorNo
Enumeration DateNovember 16, 2010
Last NPPES UpdateMay 8, 20253 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
✔ NPI 1174824536 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 · 27230
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.
12021 WILMINGTON AVE BLDG 18, Los Angeles, CA 90059
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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)

Victoria Kim Lcsw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90059 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

YOLANDA WHITE FUQUAY
Community Health Worker
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (424) 454-5000
DUKE MARKO DIAZ NAVERA
Licensed Vocational Nurse
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (213) 952-5153
BRENDA ESPINOZA
Day Training/Habilitation Specialist
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (424) 444-9050
HOLLY HENDERSON
Day Training/Habilitation Specialist
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (626) 644-0084
DAVID NEGRETE HERNANDEZ
Counselor (Addiction (Substance Use Disorder))
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6001
JENNIFER PINEDA
Behavior Technician
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (424) 454-5530
NDIDIAMAKA AMADI LVN
Licensed Vocational Nurse
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (424) 454-5470
EXODUS RECOVERY, INC.
Community/Behavioral Health
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (562) 295-4617

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 Victoria Kim's NPI number?

The NPI number for Victoria Kim is 1174824536. It was assigned to this individual provider in the NPPES registry on November 16, 2010.

Where is Victoria Kim located?

Victoria Kim practices at 12021 Wilmington Ave Bldg 18, Los Angeles, CA 90059. The listed phone number is (213) 605-3330.

What is Victoria Kim's specialty?

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

Is Victoria Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Victoria Kim was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.