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ANNA LLEWELLYN KIM
NPI 1649759812
Social Worker - Clinical in Los Angeles, CA

Active since August 09, 2018Opted out of Medicare · through Jan 4, 2028
109 N AVENUE 56 STE B, LOS ANGELES, CA 90042(213) 793-8223 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2020, Mar 5, 2020, Aug 9, 2018 (3 updates tracked since 2018).

About Anna Llewellyn Kim NPPES

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

ANNA LLEWELLYN KIM (NPI 1649759812) is an individual clinical provider in Los Angeles, California, licensed in California (ASW93200) and active in the NPI registry since August 2018. She has opted out of Medicare through January 4, 2028.

NPPES Registry Identity

NPI1649759812
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANNA LLEWELLYN KIM
Location Address109 N AVENUE 56 STE BLos Angeles, CA 90042-4111
Mailing Address109 N Avenue 56 Ste BLos Angeles, CA 90042-4111 · (213) 793-8223
Phone(213) 793-8223
Sole ProprietorNo
Enumeration DateAugust 9, 2018
Last NPPES UpdateMarch 24, 20203 updates tracked since enumeration
NPPES CertifiedMarch 24, 2020
✔ NPI 1649759812 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 · ASW93200
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.
109 N AVENUE 56 STE B, Los Angeles, CA 90042
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Anna Llewellyn Kim has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 4, 2024 through January 4, 2028.

Opt-Out Effective DateJanuary 4, 2024
Opt-Out In Effect ThroughJanuary 4, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90042 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 5

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

STEVEN WILSON
Counselor (Mental Health)
109 N AVENUE 56 STE B
LOS ANGELES, CA 90042
Los Angeles County (213) 793-8223
MS. SARAH BARUKH
Social Worker (Clinical)
109 N AVENUE 56 STE B
LOS ANGELES, CA 90042
Los Angeles County (323) 774-4786
MADISON LEEANN SEGARRA
Student in an Organized Health Care Education/Training Program
109 N AVENUE 56 STE B
LOS ANGELES, CA 90042
Los Angeles County (213) 793-8223
KINDMAN & COMPANY
Marriage & Family Therapist
109 N AVENUE 56 STE B
LOS ANGELES, CA 90042
Los Angeles County (213) 534-7336
MRS. CAITLIN SUSANNE BANCROFT HARRISON
Marriage & Family Therapist
109 N AVENUE 56 STE B
LOS ANGELES, CA 90042
Los Angeles County (213) 793-8223

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 Anna Kim's NPI number?

The NPI number for Anna Kim is 1649759812. It was assigned to this individual provider in the NPPES registry on August 9, 2018.

Where is Anna Kim located?

Anna Kim practices at 109 N Avenue 56 Ste B, Los Angeles, CA 90042. The listed phone number is (213) 793-8223.

What is Anna Kim's specialty?

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

Is Anna Kim enrolled in Medicare?

No. Anna Kim has opted out of Medicare through January 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Anna Kim was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.