MR. JOHN B. KIM LCSW
NPI 1417990466
Social Worker - Clinical in Ewa Beach, HI

Active since June 14, 2006
91-2301 FORT WEAVER RD, EWA BEACH, HI 96706(808) 671-8511(808) 676-8035 Get Directions Write a Review

NPPES record last updated: February 12, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. John B. Kim Lcsw NPPES

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

MR. JOHN B. KIM LCSW (NPI 1417990466) is an individual clinical provider in Ewa Beach, Hawaii, licensed in Hawaii (LCSW-3089) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1417990466
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JOHN B. KIMCredential: LCSW
Location Address91-2301 FORT WEAVER RDEwa Beach, HI 96706-3602
Mailing Address91-2301 Fort Weaver RdEwa Beach, HI 96706-3602 · (808) 671-8511 · Fax (808) 676-8035
Fax(808) 676-8035
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateFebruary 12, 2009
NPI 1417990466 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 HI · LCSW-3089
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.
91-2301 FORT WEAVER RD, Ewa Beach, HI 96706

Other Identifiers 7

Medicaid554825HI
Other55482501HI · Alohacare
Other0000248385HI · Hmsa
Other990298651-96706-C002HI · Tricare
Medicare UPINQ17777HI
Other788861HI · University Health Allianc
Medicare ID-Type Unspecified56826HI

Other Providers at the Same Location NPPES 9

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

Psychiatric Hospital
91-2301 FORT WEAVER RD
EWA BEACH, HI 96706
Psychiatry & Neurology (Psychiatry)
91-2301 FORT WEAVER RD
EWA BEACH, HI 96706
Registered Nurse (Psychiatric/Mental Health)
91-2301 FORT WEAVER RD
EWA BEACH, HI 96706
Psychiatry & Neurology (Psychiatry)
91-2301 FORT WEAVER RD
EWA BEACH, HI 96706
Case Manager/Care Coordinator
91-2301 FORT WEAVER RD
EWA BEACH, HI 96706
Social Worker (Clinical)
91-2301 FORT WEAVER RD
EWA BEACH, HI 96706
Psychiatry & Neurology (Psychiatry)
91-2301 FORT WEAVER RD
EWA BEACH, HI 96706
Occupational Therapist (Mental Health)
91-2301 FORT WEAVER RD
EWA BEACH, HI 96706

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 John Kim's NPI number?

The NPI number for John Kim is 1417990466. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is John Kim located?

John Kim practices at 91-2301 Fort Weaver Rd, Ewa Beach, HI 96706. The listed phone number is (808) 671-8511.

What is John Kim's specialty?

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

When was this NPI record last updated?

The NPPES record for John Kim was last updated on February 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.