JENNIE JEONGWON KIM
NPI 1609528660
Social Worker - Clinical in Los Angeles, CA

Active since January 21, 2022
510 S VERMONT AVE FL 22, LOS ANGELES, CA 90020(213) 738-2877 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2025, Jan 21, 2022 (2 updates tracked since 2022).

About Jennie Jeongwon Kim NPPES

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

JENNIE JEONGWON KIM (NPI 1609528660) is an individual clinical provider in Los Angeles, California, licensed in California (96148) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1609528660
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIE JEONGWON KIM
Location Address510 S VERMONT AVE FL 22Los Angeles, CA 90020-1992
Mailing AddressPo Box 70153Los Angeles, CA 90020 · (213) 738-2877
Sole ProprietorYes
Enumeration DateJanuary 21, 2022
Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
NPI 1609528660 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 · 96148
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.
510 S VERMONT AVE FL 22, Los Angeles, CA 90020

Other Providers at the Same Location NPPES 9

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

Counselor (Mental Health)
510 S VERMONT AVE FL 22
LOS ANGELES, CA 90020
Social Worker (Clinical)
510 S VERMONT AVE FL 22
LOS ANGELES, CA 90020
Social Worker (Clinical)
510 S VERMONT AVE FL 22
LOS ANGELES, CA 90020
Social Worker
510 S VERMONT AVE FL 22
LOS ANGELES, CA 90020
Social Worker (Clinical)
510 S VERMONT AVE FL 22
LOS ANGELES, CA 90020
Community/Behavioral Health
510 S VERMONT AVE FL 22
LOS ANGELES, CA 90020
Clinic/Center (Mental Health (Including Community Mental Health Center))
510 S VERMONT AVE FL 22
LOS ANGELES, CA 90020
Clinic/Center (Mental Health (Including Community Mental Health Center))
510 S VERMONT AVE FL 22
LOS ANGELES, CA 90020

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 Jennie Kim's NPI number?

The NPI number for Jennie Kim is 1609528660. It was assigned to this individual provider in the NPPES registry on January 21, 2022.

Where is Jennie Kim located?

Jennie Kim practices at 510 S Vermont Ave Fl 22, Los Angeles, CA 90020. The listed phone number is (213) 738-2877.

What is Jennie Kim's specialty?

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

When was this NPI record last updated?

The NPPES record for Jennie Kim was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.