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KIM BOON LMSW
NPI 1265866578
Social Worker in Fair Lawn, NJ

Active since August 23, 2013PECOS EnrolledAccepts Medicare Assignment
12-19 RIVER RD, FAIR LAWN, NJ 07410(201) 703-4371(201) 703-4376 Get Directions Write a Review

NPPES record last updated: August 23, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kim Boon Lmsw NPPES

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

KIM BOON LMSW (NPI 1265866578) is an individual social worker in Fair Lawn, New Jersey, licensed in New Jersey (44SL04838900) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1265866578
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKIM BOONCredential: LMSW
Location Address12-19 RIVER RDFair Lawn, NJ 07410-1843
Mailing Address12-19 River RdFair Lawn, NJ 07410-1843 · (201) 703-4371 · Fax (201) 703-4376
Phone(201) 703-4371
Fax(201) 703-4376
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 23, 2013
✔ NPI 1265866578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NJ · 44SL04838900
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
12-19 RIVER RD, Fair Lawn, NJ 07410
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kim Boon Lmsw 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 ID5395139596
PECOS Enrollment IDI20220304001088
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kim Boon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prime Healthcare Services - Saint Clare's LLC
18 mi
General Acute Care Hospital
25 POCONO RD
Denville, NJ 07834
  • Reassigned Medicare billing, New Jersey enrollment
  • 50 clinicians in this Medicare group
NPI 1497134274 (973) 625-6000
Internal Medicine Of Morris County LLC
25 mi
Internal Medicine
195 ROUTE 46, SUITE 102
Mine Hill, NJ 07803
  • Reassigned Medicare billing, New Jersey enrollment
  • 127 clinicians in this Medicare group
NPI 1568570489 (973) 366-6060

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
50 services12 patients

Other Providers at the Same Location NPPES 4

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

MARIA HERNANDEZ
Social Worker
12-19 RIVER RD
FAIR LAWN, NJ 07410
Bergen County (201) 703-4371
PATRICIA COMLY LCSW
Social Worker (Clinical)
12-19 RIVER RD
FAIR LAWN, NJ 07410
Bergen County (201) 703-4371
BETHANY CHRISTIAN SERVICES
Social Worker (Clinical)
12-19 RIVER RD
FAIR LAWN, NJ 07410
Bergen County (201) 703-4371
BARBARA W VOLKER PC
Counselor (Professional)
12-19 RIVER RD
FAIR LAWN, NJ 07410
Bergen County (201) 703-4371

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 Kim Boon's NPI number?

The NPI number for Kim Boon is 1265866578. It was assigned to this individual provider in the NPPES registry on August 23, 2013.

Where is Kim Boon located?

Kim Boon practices at 12-19 River Rd, Fair Lawn, NJ 07410. The listed phone number is (201) 703-4371.

What is Kim Boon's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kim Boon enrolled in Medicare?

Yes. Kim Boon 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.

Which organizations bill Medicare for Kim Boon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Boon reassigns Medicare benefits to 2 organizations: Prime Healthcare Services - Saint Clare's LLC (Denville, NJ) and Internal Medicine Of Morris County LLC (Mine Hill, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kim Boon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kim Boon was last updated on August 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.