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STEPHANIE KIM LSW
NPI 1396547154
Social Worker in Gurnee, IL

Active since March 25, 2025PECOS Enrolled
1800 NATIONS DR STE 211, GURNEE, IL 60031(224) 424-4194 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Kim Lsw NPPES

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

STEPHANIE KIM LSW (NPI 1396547154) is an individual social worker in Gurnee, Illinois and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1396547154
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSTEPHANIE KIMCredential: LSW
Location Address1800 NATIONS DR STE 211Gurnee, IL 60031-9173
Mailing Address4406 Euclid Ave Apt 2cRolling Meadows, IL 60008-1944 · (773) 963-3023
Phone(224) 424-4194
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 25, 2025
NPPES CertifiedMarch 21, 2025
✔ NPI 1396547154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
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.
1800 NATIONS DR STE 211, Gurnee, IL 60031
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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)

Stephanie Kim Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133605736
PECOS Enrollment IDI20260114000768
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.

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 Stephanie Kim's NPI number?

The NPI number for Stephanie Kim is 1396547154. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Stephanie Kim located?

Stephanie Kim practices at 1800 Nations Dr Ste 211, Gurnee, IL 60031. The listed phone number is (224) 424-4194.

What is Stephanie Kim's specialty?

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

Is Stephanie Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stephanie Kim was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.