MISS NAKYUNG IM LICSW,,LADC1,IABMCP
NPI 1962530790
Social Worker - Clinical in Brookline, MA

Active since March 01, 2007PECOS EnrolledAccepts Medicare Assignment
308A HARVARD ST, #2, BROOKLINE, MA 02446(617) 738-9622(617) 738-9623 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Nakyung Im Licsw,,ladc1,iabmcp NPPES

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

MISS NAKYUNG IM LICSW,,LADC1,IABMCP (NPI 1962530790) is an individual clinical provider in Brookline, Massachusetts, licensed in Massachusetts (103115) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1971).

NPPES Registry Identity

NPI1962530790
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS NAKYUNG IMCredential: LICSW,,LADC1,IABMCP
Location Address308A HARVARD ST, #2Brookline, MA 02446-2900
Mailing Address308a Harvard St, #2Brookline, MA 02446-2900 · (617) 738-9622 · Fax (617) 738-9623
Fax(617) 738-9623
Sole ProprietorYes
Medical School CMSOtherGraduated 1971
Enumeration DateMarch 1, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1962530790 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 MA · 103115
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.
308A HARVARD ST, Brookline, MA 02446

Other Identifiers 14

Other249058MA · Tricare
Other724940MA · Tufts Health Plan
OtherP03698MA · Bluecrossblueshield
Other62-03541MA · United Behavior Health
Other2040351MA · Cigna Health
Other4504465MA · Aetna Health Care
Medicare ID-Type UnspecifiedP03698MA
OtherS024286MA · Champus
Other831200MA · First Health Group Corp.
Other239881MA · Private Health Care Syste
Other012700MA · Valueoptions
Other724940MA · Secure Horizon
Medicaid1858572MA
Medicaid1898256MA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Miss Nakyung Im Licsw,,ladc1,iabmcp 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 ID941192009
PECOS Enrollment IDI20040325000856
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 02446 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 $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 Nakyung Im's NPI number?

The NPI number for Nakyung Im is 1962530790. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Nakyung Im located?

Nakyung Im practices at 308A Harvard St #2, Brookline, MA 02446. The listed phone number is (617) 738-9622.

What is Nakyung Im's specialty?

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

Is Nakyung Im enrolled in Medicare?

Yes. Nakyung Im 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.

What insurance does Nakyung Im accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Nakyung Im 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 Nakyung Im was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.