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MS. JIN AH RENEE KIM LCSW
NPI 1619098316
Social Worker - Clinical in Beaverton, OR

Active since April 02, 2007
12655 SW CENTER ST, SUITE # 470, BEAVERTON, OR 97005(971) 808-8226 Get Directions Write a Review

NPPES record last updated: September 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 1, 2016, Jan 26, 2016 (2 updates tracked since 2016).

About Ms. Jin Ah Renee Kim Lcsw NPPES

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

MS. JIN AH RENEE KIM LCSW (NPI 1619098316) is an individual clinical provider in Beaverton, Oregon and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1619098316
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JIN AH RENEE KIMCredential: LCSW
Location Address12655 SW CENTER ST, SUITE # 470Beaverton, OR 97005-1600
Mailing AddressPo Box 19737Portland, OR 97280 · (971) 808-8226
Phone(971) 808-8226
Sole ProprietorYes
Enumeration DateApril 2, 2007
Last NPPES UpdateSeptember 7, 20162 updates tracked since enumeration
✔ NPI 1619098316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedSocial WorkerTaxonomy 104100000X
12655 SW CENTER ST, Beaverton, OR 97005
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Other Providers at the Same Location NPPES 4

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

KATHERINE ELAINA CAREY CSWA
Counselor (Mental Health)
12655 SW CENTER ST
BEAVERTON, OR 97005
Washington County (503) 481-3512
DR. CRISTITO S. VELASCO DOCTOR OF EDUCATION
Nurse's Aide
12655 SW CENTER ST
BEAVERTON, OR 97005
Washington County (541) 992-0709
MS. JENNIE ROWE PARMELEE
Counselor (Mental Health)
12655 SW CENTER ST
BEAVERTON, OR 97005
Washington County (503) 828-3402
PERI ELISE GODFREY
Counselor (Mental Health)
12655 SW CENTER ST
BEAVERTON, OR 97005
Washington County (503) 828-3402

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 Jin Ah Kim's NPI number?

The NPI number for Jin Ah Kim is 1619098316. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Jin Ah Kim located?

Jin Ah Kim practices at 12655 SW Center St Suite # 470, Beaverton, OR 97005. The listed phone number is (971) 808-8226.

What is Jin Ah 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 Jin Ah Kim was last updated on September 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.