Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JINA KIM LCSW
NPI 1902705643
Social Worker - Clinical in Centreville, VA

Active since October 31, 2026
5823 ROCKDALE CT, CENTREVILLE, VA 20121(571) 390-3205 Get Directions Write a Review

NPPES record added: October 31, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jina Kim Lcsw NPPES

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

JINA KIM LCSW (NPI 1902705643) is an individual clinical provider in Centreville, Virginia, licensed in Virginia (0904021105) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1902705643
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJINA KIMCredential: LCSW
Location Address5823 ROCKDALE CTCentreville, VA 20121-3034
Mailing Address14120a Route 29Centreville, VA 20120-1913 · (571) 390-3205
Sole ProprietorYes
Enumeration DateOctober 31, 2026
NPPES CertifiedOctober 31, 2026
✔ NPI 1902705643 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 VA · 0904021105
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.
5823 ROCKDALE CT, Centreville, VA 20121

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 Jina Kim's NPI number?

The NPI number for Jina Kim is 1902705643. It was assigned to this individual provider in the NPPES registry on October 31, 2026.

Where is Jina Kim located?

Jina Kim practices at 5823 Rockdale Ct, Centreville, VA 20121. The listed phone number is (571) 390-3205.

What is Jina 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 Jina Kim was last updated on October 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.