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SU YIM LCSW
NPI 1922359090
Social Worker - Clinical in Portland, OR

Active since September 28, 2012Opted out of Medicare · through Jan 1, 2027
1235 SE DIVISION ST STE 104, PORTLAND, OR 97202(503) 313-4220 Get Directions Write a Review

NPPES record last updated: August 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Su Yim Lcsw NPPES

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

SU YIM LCSW (NPI 1922359090) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L6461) and active in the NPI registry since September 2012. She has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1922359090
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSU YIMCredential: LCSW
Location Address1235 SE DIVISION ST STE 104Portland, OR 97202-1055
Mailing Address1235 Se Division St Ste 104Portland, OR 97202-1055
Phone(503) 313-4220
Sole ProprietorYes
Enumeration DateSeptember 28, 2012
Last NPPES UpdateAugust 20, 2015
✔ NPI 1922359090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OR · L6461
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1235 SE DIVISION ST STE 104, Portland, OR 97202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Su Yim 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 January 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

BRONWYN ROSE HASSALL-SANTAELLA
Counselor (Mental Health)
1235 SE DIVISION ST STE 104
PORTLAND, OR 97202
Multnomah County (360) 726-4141
BODY EXPRESSIONS, LLC
Counselor (Mental Health)
1235 SE DIVISION ST STE 104
PORTLAND, OR 97202
Multnomah County (360) 726-4141
HANNAH CARROLL
Counselor (Mental Health)
1235 SE DIVISION ST STE 104
PORTLAND, OR 97202
Multnomah County (360) 726-4141
MARIA LYNN WILLIQUETTE MA
Marriage & Family Therapist
1235 SE DIVISION ST STE 104
PORTLAND, OR 97202
Multnomah County (206) 327-8592
BEYOND EATING RECOVERY, LLC
Counselor (Mental Health)
1235 SE DIVISION ST STE 104
PORTLAND, OR 97202
Multnomah County (360) 726-4141

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 Su Yim's NPI number?

The NPI number for Su Yim is 1922359090. It was assigned to this individual provider in the NPPES registry on September 28, 2012.

Where is Su Yim located?

Su Yim practices at 1235 SE Division St Ste 104, Portland, OR 97202. The listed phone number is (503) 313-4220.

What is Su Yim's specialty?

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

Is Su Yim enrolled in Medicare?

No. Su Yim has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Su Yim accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Su Yim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Su Yim was last updated on August 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.