JIWON KIM
NPI 1245113083
Speech-Language Pathologist in Worcester, MA

Q: What is Jiwon Kim's NPI number?

The NPI number for Jiwon Kim is 1245113083. It was assigned to this individual provider in the NPPES registry on July 29, 2025.

Q: What is Jiwon Kim's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Jiwon Kim was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 29, 2025

55 LAKE AVE N, WORCESTER, MA 01655(774) 442-4022 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Jiwon Kim NPPES

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

JIWON KIM (NPI 1245113083) is an individual speech-language pathologist provider in Worcester, Massachusetts, licensed in Massachusetts (SLP101789) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1245113083

Entity TypeIndividual

Primary Taxonomy235Z00000X

Provider Legal NameJIWON KIM

Location Address55 LAKE AVE NWorcester, MA 01655-0002

Mailing Address465 Meadow Rd Apt 8203Princeton, NJ 08540-6361 · (314) 489-5332

Phone(774) 442-4022

Sole ProprietorNo

Enumeration DateJuly 29, 2025

NPPES CertifiedJuly 29, 2025

✔ NPI 1245113083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in MA · SLP101789

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

55 LAKE AVE N, Worcester, MA 01655

Open in Google Maps ↗

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.

HILLARY R. IRONS MD

Emergency Medicine

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 421-1400

MS. EILEEN A. DUHAMEL NP

Nurse Practitioner

55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-2710

EWA HRYNISZYN CRNA

Nurse Anesthetist, Certified Registered

55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-3271

HELEN COPSEY PA-C

Physician Assistant

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-8585

DR. ADEPEJU GBADEBO CHAMPION M.D.

Internal Medicine

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-2731

SOWMYA KORAPATI

Internal Medicine (Hematology & Oncology)

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-3550

LAYLA FAKHRZADEH M.D.

Anesthesiology

55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-3271

YOONYIE CHO M.D.

Anesthesiology

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-1000

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 Kim's NPI number?

The NPI number for Jiwon Kim is 1245113083. It was assigned to this individual provider in the NPPES registry on July 29, 2025.

Where is Jiwon Kim located?

Jiwon Kim practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (774) 442-4022.

What is Jiwon Kim's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Jiwon Kim was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.