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MR. MINSOO KIM LCSW-R
NPI 1902106024
Social Worker - Clinical in Queens Village, NY

Active since October 22, 2010PECOS Enrolled
7925 WINCHESTER BLVD BLDG 40, QUEENS VILLAGE, NY 11427(718) 464-7500 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2022, Nov 1, 2016, Jan 12, 2016 (3 updates tracked since 2016).

About Mr. Minsoo Kim Lcsw-r NPPES

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

MR. MINSOO KIM LCSW-R (NPI 1902106024) is an individual clinical provider in Queens Village, New York, licensed in New York (082555-1) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Elmhurst.

NPPES Registry Identity

NPI1902106024
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MINSOO KIMCredential: LCSW-R
Location Address7925 WINCHESTER BLVD BLDG 40Queens Village, NY 11427-2128
Mailing Address7925 Winchester Blvd Bldg 40Queens Village, NY 11427-2128 · (718) 464-7500
Phone(718) 464-7500
Sole ProprietorYes
Enumeration DateOctober 22, 2010
Last NPPES UpdateApril 6, 20223 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
✔ NPI 1902106024 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 NY · 082555-1
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.
7925 WINCHESTER BLVD BLDG 40, Queens Village, NY 11427
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Secondary Practice Location 1

Location 18114 Queens BlvdElmhurst, NY 11373-3789 · Phone (718) 899-9810 ext. 217 · Fax (718) 899-9699

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Minsoo Kim Lcsw-r is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11427 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 $67.00 – $201.98
Typical copayment $0.00 (range $16.75 – $50.49)
Most-billed visit code NA
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

MARIA CARMINA BROGNA R.N.
Registered Nurse (Psychiatric/Mental Health, Adult)
7925 WINCHESTER BLVD BLDG 40
QUEENS VILLAGE, NY 11427
Queens County (718) 264-4390
HEEKYUNG KWON LCSW
Social Worker (Clinical)
7925 WINCHESTER BLVD BLDG 40
QUEENS VILLAGE, NY 11427
Queens County (718) 264-4375
FAIZAN SYED M.D.
Psychiatry & Neurology (Psychiatry)
7925 WINCHESTER BLVD BLDG 40
QUEENS VILLAGE, NY 11427
Queens County (718) 264-4139
DEBORAH ELLEN STILLS LCSW
Social Worker (Clinical)
7925 WINCHESTER BLVD BLDG 40
QUEENS VILLAGE, NY 11427
Queens County (718) 264-4387
KIM HOANG
Psychiatry & Neurology (Psychiatry)
7925 WINCHESTER BLVD BLDG 40
QUEENS VILLAGE, NY 11427
Queens County (909) 728-7271

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 Minsoo Kim's NPI number?

The NPI number for Minsoo Kim is 1902106024. It was assigned to this individual provider in the NPPES registry on October 22, 2010.

Where is Minsoo Kim located?

Minsoo Kim practices at 7925 Winchester Blvd Bldg 40, Queens Village, NY 11427. The listed phone number is (718) 464-7500.

What is Minsoo Kim's specialty?

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

Is Minsoo Kim enrolled in Medicare?

Yes. Minsoo Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Minsoo Kim was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.