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JI EUN MIDLAM LCSW
NPI 1861791634
Social Worker - Clinical in San Diego, CA

Active since March 19, 2011PECOS EnrolledAccepts Medicare Assignment
5694 MISSION CENTER RD STE 602-497, SAN DIEGO, CA 92108(619) 543-1613 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 13, 2025, May 7, 2025 (2 updates tracked since 2025).

About Ji Eun Midlam Lcsw NPPES

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

JI EUN MIDLAM LCSW (NPI 1861791634) is an individual clinical provider in San Diego, California, licensed in California (23030) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Southern California Keck School Of Medicine (2002).

NPPES Registry Identity

NPI1861791634
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJI EUN MIDLAMCredential: LCSW
Location Address5694 MISSION CENTER RD STE 602-497San Diego, CA 92108-4355
Mailing Address7710 Hazard Center Dr Ste E107San Diego, CA 92108-4550 · (323) 236-4685
Phone(619) 543-1613
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2002
Enumeration DateMarch 19, 2011
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1861791634 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 · 23030
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.
5694 MISSION CENTER RD STE 602-497, San Diego, CA 92108
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Secondary Practice Locations 3

Location 17133 E Cornell AveFresno, CA 93737-0048 · Phone (559) 375-1149
Location 22747 N Redda RdFresno, CA 93737-9619 · Phone (559) 375-1413
Location 38306 Wilshire Blvd # 617Beverly Hills, CA 90211-2382 · Phone (323) 236-4685

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ji Eun Midlam Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840729059
PECOS Enrollment IDI20250131002483
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Ji Eun Midlam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Help Administrative Services Inc
2.3 mi
Psychologist
3636 4TH AVE STE 304
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 22 clinicians in this Medicare group
NPI 1629875273 (858) 481-8827
Sud Specialty Group - Ca
420 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92108 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 $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

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 Ji Eun Midlam's NPI number?

The NPI number for Ji Eun Midlam is 1861791634. It was assigned to this individual provider in the NPPES registry on March 19, 2011.

Where is Ji Eun Midlam located?

Ji Eun Midlam practices at 5694 Mission Center Rd Ste 602-497, San Diego, CA 92108. The listed phone number is (619) 543-1613.

What is Ji Eun Midlam's specialty?

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

Is Ji Eun Midlam enrolled in Medicare?

Yes. Ji Eun Midlam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ji Eun Midlam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ji Eun Midlam reassigns Medicare benefits to 2 organizations: Help Administrative Services Inc (San Diego, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ji Eun Midlam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ji Eun Midlam was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.