1. Home
  2. Directory
  3. Illinois
  4. Niles
  5. Social Worker
  6. NPI Profile

JANE KIM LCSW
NPI 1346863842
Social Worker - Clinical in Niles, IL

Active since May 19, 2020Opted out of Medicare · through Jan 2, 2028
9248 N CALLERO DR, NILES, IL 60714(847) 347-0231 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 19, 2021, May 19, 2020 (2 updates tracked since 2020).

About Jane Kim Lcsw NPPES

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

JANE KIM LCSW (NPI 1346863842) is an individual clinical provider in Niles, Illinois, licensed in Illinois (149021812) and active in the NPI registry since May 2020. She has opted out of Medicare through January 2, 2028.

NPPES Registry Identity

NPI1346863842
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJANE KIMCredential: LCSW
Location Address9248 N CALLERO DRNiles, IL 60714-1318
Mailing Address9248 N Callero DrNiles, IL 60714-1318 · (847) 347-0231
Phone(847) 347-0231
Sole ProprietorYes
Enumeration DateMay 19, 2020
Last NPPES UpdateApril 19, 20212 updates tracked since enumeration
NPPES CertifiedApril 19, 2021
✔ NPI 1346863842 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 IL · 149021812
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.
9248 N CALLERO DR, Niles, IL 60714
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jane Kim Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 2, 2024 through January 2, 2028.

Opt-Out Effective DateJanuary 2, 2024
Opt-Out In Effect ThroughJanuary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

JANE KIM LCSW, LLC
Clinic/Center (Adult Mental Health)
9248 N CALLERO DR
NILES, IL 60714
Cook County (847) 347-0231

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 Jane Kim's NPI number?

The NPI number for Jane Kim is 1346863842. It was assigned to this individual provider in the NPPES registry on May 19, 2020.

Where is Jane Kim located?

Jane Kim practices at 9248 N Callero Dr, Niles, IL 60714. The listed phone number is (847) 347-0231.

What is Jane Kim's specialty?

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

Is Jane Kim enrolled in Medicare?

No. Jane Kim has opted out of Medicare through January 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jane Kim was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.