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GRACE KIM LCSW
NPI 1477218212
Social Worker - Clinical in Decatur, GA

Active since November 06, 2021PECOS EnrolledAccepts Medicare Assignment
235 E PONCE DE LEON AVE STE 330, DECATUR, GA 30030(470) 601-7870 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1477218212
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGRACE KIMCredential: LCSW
Location Address235 E PONCE DE LEON AVE STE 330Decatur, GA 30030-3754
Mailing Address235 E Ponce De Leon Ave Ste 330Decatur, GA 30030-3754 · (470) 601-7870
Phone(470) 601-7870
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 6, 2021
Last NPPES UpdateMarch 1, 2024
NPPES CertifiedMarch 1, 2024
✔ NPI 1477218212 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 GA · CSW006837
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.
235 E PONCE DE LEON AVE STE 330, Decatur, GA 30030
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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 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.

PECOS PAC ID4789020488
PECOS Enrollment IDI20240315000873
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.

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.

New Patient
$0.00 typical visit price
range $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

REVERE COUNSELING AND CARE MANAGEMENT LLC
Social Worker
235 E PONCE DE LEON AVE STE 330
DECATUR, GA 30030
Dekalb County (404) 281-5422
MS. KELLY CATHERINE MORGAN LCSW
Social Worker (Clinical)
235 E PONCE DE LEON AVE STE 330
DECATUR, GA 30030
Dekalb County (404) 301-9450

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.

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.