JIN D. KIM
NPI 1780413377
Social Worker - Clinical in Portland, OR

Active since July 31, 2024
14725 SE RHONE ST, PORTLAND, OR 97236(503) 666-6575 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jin D. Kim NPPES

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

JIN D. KIM (NPI 1780413377) is an individual clinical provider in Portland, Oregon and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1780413377
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJIN D. KIM
Location Address14725 SE RHONE STPortland, OR 97236-2556
Mailing Address1756 Se Lilly PlCorvallis, OR 97333-1802 · (541) 221-8912
Sole ProprietorNo
Enumeration DateJuly 31, 2024
NPPES CertifiedJuly 31, 2024
NPI 1780413377 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.
14725 SE RHONE ST, Portland, OR 97236

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.

Registered Nurse
14725 SE RHONE ST
PORTLAND, OR 97236
Counselor (Mental Health)
14725 SE RHONE ST
PORTLAND, OR 97236
Specialist
14725 SE RHONE ST
PORTLAND, OR 97236
Community Based Residential Treatment Facility, Mental Illness
14725 SE RHONE ST
PORTLAND, OR 97236
Counselor (Mental Health)
14725 SE RHONE ST
PORTLAND, OR 97236
Counselor (Mental Health)
14725 SE RHONE ST
PORTLAND, OR 97236
Case Manager/Care Coordinator
14725 SE RHONE ST
PORTLAND, OR 97236
Specialist
14725 SE RHONE ST
PORTLAND, OR 97236

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 Kim's NPI number?

The NPI number for Jin Kim is 1780413377. It was assigned to this individual provider in the NPPES registry on July 31, 2024.

Where is Jin Kim located?

Jin Kim practices at 14725 SE Rhone St, Portland, OR 97236. The listed phone number is (503) 666-6575.

What is Jin 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 Kim was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.