GRACE KIM LCSW
NPI 1477218212
Social Worker - Clinical in Decatur, GA
About Grace Kim Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE KIM LCSW (NPI 1477218212) is an individual clinical provider in Decatur, Georgia, licensed in Georgia (CSW006837) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Grace Kim Lcsw 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.
Medicare Billing Reassignments
2Medicare enrollment records show Grace Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Decatur, GA 30030
- Reassigned Medicare billing, Georgia enrollment
- 8 clinicians in this Medicare group
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DECATUR, GA 30030
DECATUR, GA 30030
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 Grace Kim's NPI number?
The NPI number for Grace Kim is 1477218212. It was assigned to this individual provider in the NPPES registry on November 6, 2021.
Where is Grace Kim located?
Grace Kim practices at 235 E Ponce De Leon Ave Ste 330, Decatur, GA 30030. The listed phone number is (470) 601-7870.
What is Grace Kim's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Grace Kim enrolled in Medicare?
Yes. Grace Kim 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 Grace Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grace Kim reassigns Medicare benefits to 2 organizations: Revere Counseling And Care Management LLC (Decatur, GA) and The Emory Clinic Inc (Atlanta, GA). 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 Grace Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Grace Kim accept?
Health plans from Oscar Health list Grace Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Grace Kim was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Grace Kim, LCSW · NPI 1477218212
Clinical provider in Decatur, Georgia. Individual provider, active in the CMS NPPES registry since November 6, 2021.
## Identity
- **NPI:** 1477218212 (Entity type: Individual)
- **Enumerated:** November 6, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** CSW006837 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 235 E PONCE DE LEON AVE STE 330, Decatur, GA 30030-3754
- **Phone:** (470) 601-7870
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Revere Counseling And Care Management LLC (NPI 1114429412, Decatur, GA); The Emory Clinic Inc (NPI 1396798229, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** March 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1477218212) · Data from the CMS NPPES public registry.