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KEE JUNG EOM MSW
NPI 1578019980
Social Worker - Clinical in Gardena, CA

Active since August 27, 2016PECOS Enrolled
14112 S KINGSLEY DR, GARDENA, CA 90249(310) 217-7312 Get Directions Write a Review

NPPES record last updated: August 27, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kee Jung Eom Msw NPPES

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

KEE JUNG EOM MSW (NPI 1578019980) is an individual clinical provider in Gardena, California, licensed in California (ASW72155) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578019980
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKEE JUNG EOMCredential: MSW
Location Address14112 S KINGSLEY DRGardena, CA 90249-3018
Mailing Address1384 N Dominion AvePasadena, CA 91104-2708 · (626) 807-9559
Phone(310) 217-7312
Sole ProprietorNo
Enumeration DateAugust 27, 2016
✔ NPI 1578019980 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 CA · ASW72155
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.
14112 S KINGSLEY DR, Gardena, CA 90249
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kee Jung Eom Msw 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.

Medicare Billing Reassignment

Medicare enrollment records show Kee Jung Eom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Los Angeles County Department Of Mental Health
0.9 mi
Mental Health (Including Community Mental Health Center)
1045 W REDONDO BEACH BLVD FL 3
Gardena, CA 90247
  • Reassigned Medicare billing, California enrollment
  • 533 clinicians in this Medicare group
NPI 1760698112 (310) 970-5000

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 90249 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

COASTAL ASIAN PACIFIC MENTAL HEALTH CENTER
Psychiatric Hospital
14112 S KINGSLEY DR
GARDENA, CA 90249
Los Angeles County (310) 217-7313
DR. NAM JIN CHOI
Rehabilitation Practitioner
14112 S KINGSLEY DR
GARDENA, CA 90249
Los Angeles County (213) 760-7061
SHERRY WANG
Social Worker (Clinical)
14112 S KINGSLEY DR
GARDENA, CA 90249
Los Angeles County (310) 217-7300
DR. JASON HUANG PHD
Psychologist (Clinical)
14112 S KINGSLEY DR
GARDENA, CA 90249
Los Angeles County (310) 217-7312
HANIYA SALEEM SYEDA
Social Worker (Clinical)
14112 S KINGSLEY DR
GARDENA, CA 90249
Los Angeles County (310) 217-7312
DR. ANDY CHUNG-WAI YING PSY.D.
Psychologist (Clinical)
14112 S KINGSLEY DR
GARDENA, CA 90249
Los Angeles County (310) 217-7312
THUY TRAN PHAM LCSW
Social Worker (Clinical)
14112 S KINGSLEY DR
GARDENA, CA 90249
Los Angeles County (310) 217-7312
JOSEPHINA RODRIGUEZ ASW
Social Worker (Clinical)
14112 S KINGSLEY DR
GARDENA, CA 90249
Los Angeles County (310) 533-6600

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 Kee Jung Eom's NPI number?

The NPI number for Kee Jung Eom is 1578019980. It was assigned to this individual provider in the NPPES registry on August 27, 2016.

Where is Kee Jung Eom located?

Kee Jung Eom practices at 14112 S Kingsley Dr, Gardena, CA 90249. The listed phone number is (310) 217-7312.

What is Kee Jung Eom's specialty?

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

Is Kee Jung Eom enrolled in Medicare?

Yes. Kee Jung Eom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kee Jung Eom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kee Jung Eom reassigns Medicare benefits to Los Angeles County Department Of Mental Health (Gardena, CA). The 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 Kee Jung Eom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kee Jung Eom accept?

Health plans from Blue Cross and Blue Shield of Texas list Kee Jung Eom 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 Kee Jung Eom was last updated on August 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.