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Jiwon Kang

Social Worker, Clinical in Elmhurst, NY. Individual provider (NPI-1).

NPI number1154800902
StatusActive
Last updated in NPPESOct 9, 2026

Details

NPI
1154800902
Entity type
Individual (NPI-1)
Name
Jiwon Kang
Sex
Female
Sole proprietor
No
Enumeration date
Aug 13, 2018
Certification date
Aug 24, 2020
Last updated
Oct 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical104331NYYes

Practice location

4010 77th Street, 1d
1d
Elmhurst, NY 11373

Phone 646-239-6072

Mailing address

4010 77th St
Elmhurst, NY 11373-1155

Phone 646-239-6072

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