PAULINE KIM
NPI 1508686114
Social Worker - Clinical in Lynnwood, WA

Active since October 16, 2024PECOS Enrolled
2027 196TH ST SW STE A205, LYNNWOOD, WA 98036(206) 558-4488 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pauline Kim NPPES

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

PAULINE KIM (NPI 1508686114) is an individual clinical provider in Lynnwood, Washington, licensed in Washington (SC61413396) and active in the NPI registry since October 2024. The provider is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1508686114
Entity TypeIndividual
Primary Taxonomy1041C0700X
Provider Legal NamePAULINE KIM
Location Address2027 196TH ST SW STE A205Lynnwood, WA 98036-7073
Mailing Address2027 196th St Sw Ste A205Lynnwood, WA 98036-7073 · (720) 250-7161
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 16, 2024
Last NPPES UpdateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
NPI 1508686114 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 WA · SC61413396
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.
2027 196TH ST SW STE A205, Lynnwood, WA 98036

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID244722106
PECOS Enrollment IDI20251126003725
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 98036 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 $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 20

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

Counselor (Mental Health)
2027 196TH ST SW STE A205
LYNNWOOD, WA 98036
Nurse Practitioner (Psychiatric/Mental Health)
2027 196TH ST SW STE A205
LYNNWOOD, WA 98036
Nurse Practitioner (Psychiatric/Mental Health)
2027 196TH ST SW STE A205
LYNNWOOD, WA 98036
Counselor (Mental Health)
2027 196TH ST SW STE A205
LYNNWOOD, WA 98036
Counselor (Mental Health)
2027 196TH ST SW STE A205
LYNNWOOD, WA 98036
Clinic/Center (Mental Health (Including Community Mental Health Center))
2027 196TH ST SW STE A205
LYNNWOOD, WA 98036
Counselor (Mental Health)
2027 196TH ST SW STE A205
LYNNWOOD, WA 98036
Social Worker (Clinical)
2027 196TH ST SW STE A205
LYNNWOOD, WA 98036

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 Pauline Kim's NPI number?

The NPI number for Pauline Kim is 1508686114. It was assigned to this individual provider in the NPPES registry on October 16, 2024.

Where is Pauline Kim located?

Pauline Kim practices at 2027 196th St SW Ste A205, Lynnwood, WA 98036. The listed phone number is (206) 558-4488.

What is Pauline Kim's specialty?

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

Is Pauline Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Pauline Kim was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.