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HANEUL KIM LCSW
NPI 1750055281
Social Worker - Clinical in Suwanee, GA

Active since August 07, 2021Opted out of Medicare · through Oct 2, 2027
5400 LAUREL SPRINGS PKWY STE 203, SUWANEE, GA 30024(678) 941-4855 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2023, Aug 7, 2021 (2 updates tracked since 2021).

About Haneul Kim Lcsw NPPES

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

HANEUL KIM LCSW (NPI 1750055281) is an individual clinical provider in Suwanee, Georgia and active in the NPI registry since August 2021. He has opted out of Medicare through October 2, 2027.

NPPES Registry Identity

NPI1750055281
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameHANEUL KIMCredential: LCSW
Location Address5400 LAUREL SPRINGS PKWY STE 203Suwanee, GA 30024-6062
Mailing Address5400 Laurel Springs Pkwy Ste 203Suwanee, GA 30024-6062 · (678) 941-4855
Phone(678) 941-4855
Sole ProprietorYes
Enumeration DateAugust 7, 2021
Last NPPES UpdateJanuary 16, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2023
✔ NPI 1750055281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
5400 LAUREL SPRINGS PKWY STE 203, Suwanee, GA 30024
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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

Haneul Kim Lcsw 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 October 2, 2023 through October 2, 2027.

Opt-Out Effective DateOctober 2, 2023
Opt-Out In Effect ThroughOctober 2, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

LIFE INDUCING COUNSELING LLC
Social Worker (Clinical)
5400 LAUREL SPRINGS PKWY STE 203
SUWANEE, GA 30024
Gwinnett County (678) 941-4855

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 Haneul Kim's NPI number?

The NPI number for Haneul Kim is 1750055281. It was assigned to this individual provider in the NPPES registry on August 7, 2021.

Where is Haneul Kim located?

Haneul Kim practices at 5400 Laurel Springs Pkwy Ste 203, Suwanee, GA 30024. The listed phone number is (678) 941-4855.

What is Haneul Kim's specialty?

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

Is Haneul Kim enrolled in Medicare?

No. Haneul Kim has opted out of Medicare through October 2, 2027. 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 Haneul Kim was last updated on January 16, 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.