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AMITY NICHOLE KIM
NPI 1548764780
Social Worker - School in Fairfax, VA

Active since March 21, 2018PECOS Enrolled
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031(571) 423-4300 Get Directions Write a Review

NPPES record last updated: May 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 29, 2023, Mar 21, 2018 (2 updates tracked since 2018).

About Amity Nichole Kim NPPES

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

AMITY NICHOLE KIM (NPI 1548764780) is an individual school provider in Fairfax, Virginia, licensed in Virginia (PPS-0605635) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548764780
Entity TypeIndividualFemale
Primary Taxonomy1041S0200X
Provider Legal NameAMITY NICHOLE KIM
Location Address8270 WILLOW OAKS CORPORATE DRFairfax, VA 22031-4511
Mailing Address8270 Willow Oaks Corporate DrFairfax, VA 22031-4511
Phone(571) 423-4300
Sole ProprietorNo
Enumeration DateMarch 21, 2018
Last NPPES UpdateMay 29, 20232 updates tracked since enumeration
NPPES CertifiedMay 29, 2023
✔ NPI 1548764780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
License✔ Licensed in VA · PPS-0605635
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 0904015257 (VA)
8270 WILLOW OAKS CORPORATE DR, Fairfax, VA 22031
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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)

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

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.

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.

ALYSA DAIGLE MS/CAGS, NCSP
Psychologist (School)
8270 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (781) 953-7010
KATHERINE NETHERCOTE
Psychologist (School)
8270 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (571) 423-4900
ELIZABETH LASTER MSW
Social Worker (School)
8270 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (571) 423-4300
ANA MARIA RINGEL
Speech-Language Pathologist
8270 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (571) 423-4900
CAROL ANN PASTORIC MS CCC-SLP
Speech-Language Pathologist
8270 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 426-7039
DEBORAH PAULA GLICKMAN
Speech-Language Pathologist
8270 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 645-6300
WES SMITH LCSW
Social Worker (School)
8270 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 288-8434
MARIA WORTHEN
Social Worker (School)
8270 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (571) 423-4300

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 Amity Kim's NPI number?

The NPI number for Amity Kim is 1548764780. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Amity Kim located?

Amity Kim practices at 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031. The listed phone number is (571) 423-4300.

What is Amity Kim's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

Is Amity Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amity Kim was last updated on May 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.